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高原昏迷之眼底变化,多属零星报道,本文综合报告56例高原昏迷之眼底变化,供参考。一般情况:资料来源于本院内科住院病人,共56例,男性49性,女性7例。年龄18～45岁。全系移居汉族。发病时海拔高度均在3658～5300米之间。除3例乘飞机到拉萨后不久发病外,其余43例都在五道梁至当雄(海拔4800～4200米)途中发病。入院后做了腰穿的36例,其中脑压在180毫米水柱以下者16例,180毫米水柱以上者20例,最高达580毫米水柱,脑脊液生化检查均在正常范围内。眼底变化:56例不同程度的高原昏迷患者,眼底有改变者46例,占82.14％;眼底基
High altitude coma fundus changes, mostly sporadic reports, the paper reports a comprehensive report of 56 cases of plateau coma change, for reference. General conditions: The data are from in-patient patients in our hospital, 56 cases in total, 49 males and 7 females. Age 18 to 45 years old. The whole family emigrated to Han nationality. When the onset of altitude are 3658 ~ 5300 meters. Except for the three cases that were diseased by plane to Lhasa, the remaining 43 cases were reported on the way from Wudaoliang to Dangxiong (4800 ~ 4200 meters above sea level). There were 36 cases of lumbar puncture after admission. Among them, 16 cases had intracranial pressure below 180 mm water column, 20 cases above 180 mm water column and up to 580 mm water column. Cerebrospinal fluid biochemical tests were within the normal range. Fundus changes: 56 cases of varying degrees of altitude coma patients, 46 cases of fundus changes, accounting for 82.14%; fundus base