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在独协医科大学医院,74～80年的15644例眼科新患者中有3例患视网膜中央动脉阻塞。84年的3148例新患中有6例患此病。是否由于日本人饮食生活等变化而引起此病增加尚未弄清。笔者治疗的6例为5男1女,年龄在47～66岁之间、阻塞部分在颞上枝的有4例。从发病到治疗开始的时间是5小时～5日。但因其中有经外医院转来的病例,所以,实际在本院治疗开始的时间是从数小时～2日。视网膜比脑组织对缺氧的耐受性高,所以即便是视网膜的血液供应断绝,也不应该放弃希望。根据以往病例,病程时间已相当长的视力也能改善。在上述6例中,分枝阻塞的病例预后比较好,例如一63岁男患,颞上枝阻塞,初诊视力0.1,有鼻下侧1/4偏盲,24小时之内开始治疗,到48小时视力恢
In the DSS Hospital, 3 of 15 644 new ophthalmic patients 74 to 80 years had central retinal artery occlusion. Six out of 3148 new cases in 84 years had the disease. Whether the increase in the disease due to changes in the Japanese diet such as life has not yet been clarified. The author of the treatment of 6 cases of 5 men and 1 woman, aged 47 to 66 years old, obstruction in the superior temporal branch in 4 cases. The time from onset to treatment is 5 hours to 5 days. However, because of the cases transferred by foreign hospitals, the actual treatment time in our hospital is from several hours to 2 days. Retina is more tolerant of hypoxia than brain tissue, so even if the blood supply to the retina is cut off, you should not give up hope. According to the past cases, the course of time has been quite long vision can improve. Among the above 6 cases, the prognosis of patients with obstructed branches is good, for example, a 63-year-old man with obstruction of the superior temporal branch, a newly diagnosed visual acuity of 0.1, a sub-nasal hemianoid hemianopia, treatment within 24 hours and visual acuity of 48 hours Restore