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高血压的眼底改变,最初被列为诊断高血压病的一项重要检查内容,此项检查至今仍被临床所重视。本文以高血压病合并眼底疾病为主要内容介绍如下。一、眼底病变对全身管理的指导作用眼底变化做为判断高血压或高血压动脉硬化的全身性病理变化已有相当长的历史,最早仅以乳头水肿判断余生的时间长短。自Keith-Wagener的分类法传入日本后,由于内科和眼科医生的协作,揭晓了疾病各期的余生和生存率。但是此种分类方法还不能对单纯性高血压性变化和继发于高血压病的动脉硬化加以鉴别。后来Scheie又提出区别高血压性变化(HY)和动脉硬化性变化(SCL)的判断方法。1.眼底变化的意义: 视网膜血管在解剖学上靠近脑血管,用眼
Hypertension, fundus changes, was initially classified as an important check diagnosis of hypertension, this test is still clinically valued. In this paper, hypertension and fundus diseases as the main content are as follows. First, the fundus lesion on the guiding role of body management Fundus changes as judging hypertension or hypertensive arteriosclerosis systemic pathological changes have a long history, the earliest only to determine the duration of papillary edema the length of time. Since the introduction of Keith-Wagener’s classification into Japan, the symbiosis of medical and ophthalmologists has revealed the survival and survival of each stage of the disease. However, this classification method is not yet able to identify simple hypertensive changes and arteriosclerosis secondary to hypertension. Scheie later proposed a method of distinguishing between hypertensive changes (HY) and arteriosclerosis (SCL). 1. The significance of fundus changes: retinal blood vessels near the anatomy of the brain, with the eye