视神经疾病与神经眼科学【眼科PPT课件】 张磊的人物简介
\u4ec0\u4e48\u662f\u795e\u7ecf\u773c\u79d1\uff1f\u795e\u7ecf\u773c\u79d1\u662f\u4e00\u95e8\u6d89\u53ca\u773c\u79d1\u3001\u795e\u7ecf\u5185\u79d1\u3001\u795e\u7ecf\u5916\u79d1\u3001\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1\u7b49\u591a\u4e13\u4e1a\u7684\u65b0\u5174\u7684\u4ea4\u53c9\u5b66\u79d1\uff1b\u5176\u8303\u7574\u6db5\u76d6\u5f88\u5e7f\uff0c\u4e3b\u8981\u5206\u4e3a\u89c6\u89c9\u4f20\u5165\u548c\u4f20\u51fa\u4e24\u5927\u90e8\u5206\uff0c\u5176\u4e2d\u4e3b\u8981\u548c\u5e38\u89c1\u7684\u5305\u62ec\u89c6\u795e\u7ecf\u75be\u75c5\u3001\u89c6\u4ea4\u53c9\u548c\u4ea4\u53c9\u540e\u75be\u75c5\u3001\u5404\u79cd\u539f\u56e0\u7684\u773c\u808c\u9ebb\u75f9\u7b49\uff0c\u4ee5\u4e0a\u75be\u75c5\u5728\u4e34\u5e8a\u4e0a\u901a\u5e38\u4e3b\u8981\u6216\u9996\u5148\u8868\u73b0\u4e3a\u89c6\u529b\u4e0b\u964d\u548c/\u6216\u773c\u808c\u9ebb\u75f9\uff1b\u8fd8\u53ef\u6709\u773c\u75db\u3001\u7a81\u773c\u3001\u89c6\u91ce\u7f29\u5c0f\u3001\u773c\u7751\u75c9\u631b\u7b49\u591a\u79cd\u75c7\u72b6\u3002\u60a3\u8005\u5f80\u5f80\u9996\u8bca\u4e8e\u773c\u79d1\u3002\u773c\u79d1\u5728\u6392\u9664\u773c\u7403\u672c\u8eab\u7684\u75be\u75c5\u540e\uff0c\u4e0e\u795e\u7ecf\u5185\u79d1\u5408\u4f5c\uff0c\u901a\u8fc7\u5404\u9879\u4e34\u5e8a\u548c\u8f85\u52a9\u68c0\u67e5\uff0c\u4ed4\u7ec6\u67e5\u627e\u5bfc\u81f4\u75c7\u72b6\u7684\u6b63\u786e\u75c5\u56e0\uff0c\u5bf9\u4e8e\u60a3\u8005\u5f97\u5230\u6b63\u786e\u3001\u7cfb\u7edf\u7684\u8bca\u6cbb\u975e\u5e38\u5173\u952e\u3002\u9664\u7cfb\u7edf\u7684\u5185\u79d1\u6cbb\u7597\u5916\uff0c\u7531\u4e8e\u76f8\u5f53\u90e8\u5206\u89c6\u529b\u969c\u788d\u548c\u773c\u808c\u9ebb\u75f9\u60a3\u8005\u7684\u75c5\u56e0\u662f\u524d\u9885\u7a9d\uff08\u978d\u533a\u3001\u7736\u540e\u3001\u7736\u5c16\u7b49\uff09\u7684\u5360\u4f4d\u6027\u75c5\u53d8\u3001\u9f3b\u7aa6\u75c5\u53d8\u3001\u773c\u7736\u6216\u89c6\u795e\u7ecf\u5916\u4f24\u7b49\uff0c\u56e0\u6b64\uff0c\u6cbb\u7597\u4e0e\u795e\u7ecf\u5916\u79d1\u3001\u773c\u80bf\u7624\u79d1\u3001\u773c\u5916\u4f24\u79d1\u4ee5\u53ca\u8033\u9f3b\u54bd\u5589\u5934\u9888\u5916\u79d1\u5173\u7cfb\u5bc6\u5207\u3002 \u56e0\u6b64\uff0c\u901a\u8fc7\u591a\u79d1\u5ba4\u7d27\u5bc6\u5408\u4f5c\uff0c\u4e3a\u60a3\u8005\u63d0\u4f9b\u4ece\u8bca\u65ad\u5230\u6cbb\u7597\u7684\u4e00\u5957\u5b8c\u6574\u3001\u6b63\u786e\u3001\u7cfb\u7edf\u3001\u9ad8\u6548\u7684\u8bca\u7597\uff0c\u591a\u795e\u7ecf\u773c\u79d1\u60a3\u8005\u5c24\u4e3a\u91cd\u8981\u3002
1999\u5e74\u6bd5\u4e1a\u4e8e\u6ee8\u5dde\u533b\u5b66\u9662\u4e34\u5e8a\u533b\u5b66\u7cfb\uff0c\u5e76\u7559\u6821\u4efb\u6559\uff0c2003\u5e74\u81f32006\u5e74\u4e8e\u4e2d\u5c71\u5927\u5b66\u4e2d\u5c71\u773c\u79d1\u4e2d\u5fc3\u8bfb\u7814\uff0c\u5e76\u83b7\u7855\u58eb\u5b66\u4f4d\uff0c\u76ee\u524d\u5728\u804c\u653b\u8bfb\u5929\u6d25\u533b\u79d1\u5927\u5b66\u773c\u79d1\u4e2d\u5fc3\u535a\u58eb\u5b66\u4f4d\u30022008\u5e748\u6708\u81f311\u6708\u8d74\u97e9\u56fd\u52a0\u56fe\u7acb\u533b\u79d1\u5927\u5b66\u9996\u5c14\u5723\u6bcd\u533b\u9662\u7814\u4fee\u548c\u5b66\u672f\u8bbf\u95ee\uff0c\u5e76\u591a\u6b21\u8d74\u65e5\u672c\u3001\u9999\u6e2f\u7b49\u5730\u8fdb\u884c\u5b66\u672f\u4ea4\u6d41\u30022004\u5e74\u88ab\u6ee8\u5dde\u533b\u5b66\u9662\u8058\u4e3a\u8bb2\u5e08\uff0c2011\u5e74\u664b\u5347\u526f\u6559\u6388\uff0c2012\u5e743\u6708\u83b7\u7855\u58eb\u7814\u7a76\u751f\u5bfc\u5e08\u8d44\u683c\u3002\u73b0\u4e3a\u6ee8\u5dde\u533b\u5b66\u9662\u9644\u5c5e\u533b\u9662\u773c\u79d1\u526f\u4e3b\u4efb\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u4f1a\u5458\uff0c\u4e2d\u534e\u773c\u79d1\u5b66\u4f1a\u5c71\u4e1c\u7701\u5206\u4f1a\u5c48\u5149\u59d4\u5458\u4f1a\u59d4\u5458\uff0c\u5c71\u4e1c\u7701\u6fc0\u5149\u533b\u5b66\u4f1a\u773c\u79d1\u4e13\u4e1a\u59d4\u5458\u4f1a\u59d4\u5458\u3002\u6ee8\u5dde\u5e02\u773c\u79d1\u4e13\u4e1a\u59d4\u5458\u4f1a\u59d4\u5458\u517c\u79d8\u4e66\uff0c\u4e9a\u6d32\u795e\u7ecf\u773c\u79d1\u5b66\u4f1a\u4f1a\u5458\uff0c\u7f8e\u56fd\u773c\u79d1\u4e0e\u89c6\u89c9\u79d1\u5b66\u534f\u4f1a\uff08ARVO\uff09\u5916\u7c4d\u4f1a\u5458 \u3002\u6559\u80b2\u79d1\u7814\u76ee\u524d\u4e3b\u8981\u7814\u7a76\u65b9\u5411\u4e3a\u773c\u89c6\u5149\u5b66\u53ca\u89c6\u529f\u80fd\u4fdd\u62a4\u3002\u4e3b\u8981\u5185\u5bb9\u4e3a:\u5e94\u7528\u5404\u79cd\u6280\u672f\u624b\u6bb5\u6539\u53d8\u89d2\u819c\u7684\u5f62\u6001\u6216\u5c48\u5149\u72b6\u6001\u77eb\u6b63\u5404\u79cd\u5c48\u5149\u4e0d\u6b63\uff1b\u5404\u79cd\u5bfc\u81f4\u89c6\u795e\u7ecf\u635f\u5bb3\u7684\u75be\u75c5\u7684\u8bca\u65ad\u548c\u5eb7\u590d\uff08\u795e\u7ecf\u773c\u79d1\uff09\u30022011\u5e74\u83b7\u6ee8\u5dde\u5e02\u9752\u5e74\u79d1\u6280\u5956\uff0c\u83b7\u6ee8\u5dde\u5e02\u7b2c20\u5c4a\u793e\u4f1a\u79d1\u5b66\u4f18\u79c0\u6210\u679c\u5956\uff0c2010\u5e74\u83b7\u6ee8\u5dde\u533b\u5b66\u9662\u79d1\u6280\u8fdb\u6b65\u4e8c\u7b49\u5956\u4e00\u9879\uff0c\u83b72006\u5e74\u5ea6\u30012010\u5e74\u5ea6\u6ee8\u5dde\u533b\u5b66\u9662\u4f18\u79c0\u6559\u5e08\u79f0\u53f7\uff0c2009-2010\u5e74\u5ea6\u6ee8\u5dde\u533b\u5b66\u9662\u9644\u5c5e\u533b\u9662\u4f18\u79c0\u5171\u4ea7\u515a\uff0c2012\u5e74\u6ee8\u5dde\u533b\u5b66\u9662\u9644\u5c5e\u533b\u9662\u79d1\u6559\u5174\u9c81\u4f18\u79c0\u5171\u4ea7\u515a\u5458\u79f0\u53f7\u3002
绛旓細浣庣溂鍘嬫ч粍鏂鐥呭彉鍜瑙嗙洏姘磋偪 娴告鼎鎬瑙嗙缁忕梾鍙 瑙嗙洏榛戣壊绱犵粏鑳炵槫 鐗电墰鑺辩患鍚堝緛 鏈夐珦绁炵粡绾ょ淮 瑙嗙缁忚缃戣啘鐐 瑙嗙缁忚悗缂 瑙嗙洏鐜荤拑鑶滅枺 瑙嗙洏灏忓嚬 瑙嗙缁忕値 瑙嗙洏姘磋偪 鍋囨ц鐩樻按鑲 鏀惧皠鎬ц缃戣啘瑙嗙缁忕梾鍙 鍊炬枩鐨勮鐩 涓瘨鎬у急瑙 澶栦激鎬ц绁炵粡鐥呭彉 浼犲嚭绁炵粡鎬х梾鍙樺灞曠缁忛夯鐥 鎱㈡ц繘琛屾х溂澶栬倢楹荤椆 闈㈢...
绛旓細璇婃柇姝ょ被闂閫氬父闇瑕佷笓涓氱殑鍖诲妫鏌ワ紝鍖呮嫭鐪煎簳妫鏌ユ潵瑙傚療瑙嗙綉鑶滐紝瑁傞殭鐏鏌ヤ互鏌ョ湅鐪艰〃锛屼互鍙婅鍔涙鏌ユ潵璇勪及瑙嗚鑳藉姏銆傞氳繃杩欎簺妫鏌ワ紝鍖荤敓鑳藉鍑嗙‘鍒ゆ柇鐥呭洜銆傝嫢纭瘖涓瑙嗙缁鐐庯紝閫氬父鐨勬不鐤楁柟妗堝寘鎷娇鐢ㄦ縺绱犵被鑽墿鏉ュ噺杞荤値鐥囷紝鍚屾椂閰嶅悎钀ュ吇绁炵粡鑽墿鏉ヤ績杩涚缁忔仮澶嶃傛瘡涓姝ユ不鐤楅兘鑷冲叧閲嶈锛屽姟蹇呭強鏃跺氨鍖汇傛荤殑鏉ヨ...
绛旓細鍚庨潰鐨勬紓浜殑娉㈠舰锛屾垜瑙夊緱鏄疨200娉紝涓鑸鍦╬100寮傚父鏃惰〃鐜板嚭鏉ャ傝瑙夎鍙戠數浣嶈褰曚粠 瑙嗙綉鑶滃埌瑙嗙毊灞傜殑绁炵粡绾ょ淮鐨勮鍙戠數浣嶏紝瑙嗙毊灞傚渚х氦缁翠富瑕佹潵鑷粍鏂戯紝鎵浠ヤ篃鍙互榛勬枒鍔熻兘锛屼复搴婁富瑕佺敤鏉ュ垽鏂瑙嗙缁鍙婅璺鐤剧梾锛屽閴村埆闈掑厜鐪煎強楂樼溂鍘嬬棁锛岀溂鎸激銆佽绁炵粡鐐庛佸急瑙嗙瓑锛岃繕鍙互閴村埆浼洸锛岃瘎浠峰眻鍏夐棿璐ㄦ贩娴婅呯殑鏈...
绛旓細鐗电墰鑺辩患鍚堝緛鏄竴绉嶇綍瑙佺殑鐪肩鐤剧梾锛屾不鐤楀彲鑳藉寘鎷縺鍏夋墜鏈垨鑽墿娌荤枟浠ュ噺杞荤棁鐘躲傛湁楂撶缁忕氦缁鐥呭彉鍙兘娑夊強钀ュ吇绁炵粡鍜屾姉鐐庢不鐤楋紝甯姪绁炵粡绾ょ淮鍐嶇敓鍜屼慨澶嶃瑙嗙缁瑙嗙綉鑶滅値鏄値鐥囨х柧鐥咃紝鎶楃値鍜屽厤鐤姂鍒剁枟娉曟槸涓昏娌荤枟鎵嬫锛屽悓鏃跺彲鑳介渶瑕佸畾鏈熺溂绉戞鏌ョ洃鎺х梾鎯呫傛渶鍚庯紝瑙嗙缁忚悗缂╂槸涓绉嶄笉鍙嗙殑鎹熷锛屾不鐤楃洰鏍囧彲鑳芥槸...
绛旓細瑙嗙缁忕値娉涙寚绱強瑙嗙缁忕殑鍚勭鐐庢х梾鍙橈紝鏄绁炵粡鐪肩鏈甯歌鐨瑙嗙缁忕柧鐥涔嬩竴锛屼篃鏄潚涓勾浜烘渶瀹规槗鎮ｇ殑瑙嗙缁忕柧鐥呫傝绁炵粡鐐庝粎鏄竴涓粺绉扮殑鍖诲鏈锛屽寘鎷悇绉嶆劅鏌撶疮鍙婅绁炵粡鍚庡紩璧风殑瑙嗙缁忔湰韬殑鎰熸煋鎬х値鐥囷紝姣斿鍖栬創鎬ц剳鑶滅値鐨勭粏鑿屾劅鏌擄紝娌胯洓缃戣啘涓嬭厰銆佽蒋鑴戣啘钄撳欢鍒拌绁炵粡闉樿啘锛屾垨鍓蓟绐︽劅鏌撴х値鐥囦镜琚...
绛旓細涓庣缁绉戞湁鍏崇殑鐪肩潧鐥呭彉锛屽父瑙佹湁鐪煎鑲屻佺缁忋佽绠3绫伙紝鍒嗗埆鍙欒堪濡備笅锛1銆佷笌鐪煎鑲屾湁鍏崇殑鐥呭彉锛 濡備笂涓嬬洿鑲屻佸唴澶栫洿鑲屻佷笂涓嬫枩鑲岄夯鐥癸紝涓昏閫犳垚澶嶈銆佸弻鐪肩悆涓嶅悓浣嶇瓑琛ㄧ幇銆傚父瑙佷簬缁у彂绯栧翱鐥呫佺敳浜佽倢钀ュ吇涓嶈壇銆侀噸鐥囪倢鏃犲姏绛鐤剧梾锛屾鏃朵富瑕佺殑闂铏界劧鍑虹幇鍦ㄧ溂鐫涜倢鑲夌郴缁燂紝瀹為檯涓婂弽鏄犵殑鏄叏韬煇涓绉...
绛旓細浜虹溂瑙嗚浣滀负鑾峰緱澶栫晫淇℃伅80%宸﹀彸鐨勭獥鍙ｏ紝鏄噸瑕佺殑鎰熻鍣ㄥ畼锛鐪肩瀛鏄互闃茬洸娌荤洸銆佹敼鍠勮瑙夐殰纰嶄负鐩殑鐨勫绉戙傚悇绉嶅垱浼ら犳垚鐨勭溂鍓嶈妭鎹熷銆佸ぇ閲忚繎瑙嗙溂鎮ｈ呭拰瑙嗙缁忕柧鐥鐨勬不鐤楁槸鐪肩瀛︾晫鏋佷负鍏虫敞鐨勫唴瀹癸紝鏈绉戞棦鏄浉瀵圭嫭绔嬬殑鐮旂┒鏂瑰悜锛屽張娑夊強鍏夊銆佺數瀛愬銆佺敓鐗╁尰瀛︾瓑浜ゅ弶瀛︾锛屽湪鐮旂┒鎵嬫鍜岀爺绌跺唴瀹逛笂鐩镐簰渚濆瓨...
绛旓細绁炵粡鐪肩鏄竴闂ㄦ秹鍙婄溂绉戙佺缁忓唴绉戙佺缁忓绉戙佽抽蓟鍜藉枆澶撮澶栫绛夊涓撲笟鐨勬柊鍏寸殑浜ゅ弶瀛︾;鍏惰寖鐣存兜鐩栧緢骞匡紝涓昏鍒嗕负瑙嗚浼犲叆鍜浼犲嚭涓ゅぇ閮ㄥ垎锛屽叾涓富瑕佸拰甯歌鐨勫寘鎷瑙嗙缁忕柧鐥銆佽浜ゅ弶鍜屼氦鍙夊悗鐤剧梾銆佸悇绉嶅師鍥犵殑鐪艰倢楹荤椆绛夛紝浠ヤ笂鐤剧梾鍦ㄤ复搴婁笂閫氬父涓昏鎴栭鍏堣〃鐜颁负瑙嗗姏涓嬮檷鍜/鎴栫溂鑲岄夯鐥;杩樺彲鏈夌溂鐥涖佺獊鐪笺...
绛旓細瑙嗙缁忕値璇婃柇鍜娌荤枟涓撳鍏辫瘑瑙嗙缁忕値(optic neuritis,ON)娉涙寚绱強瑙嗙缁忕殑鍚勭鐐庢х梾鍙,鏄潚涓勾浜烘渶鏄撶焦鎮ｇ殑鑷寸洸鎬瑙嗙缁忕柧鐥銆備互寰鎸夊彈绱儴浣嶅垎涓4鍨:鐞冨悗瑙嗙缁忕値鈥曗曚粎绱強瑙嗙缁忕湺鍐呮銆佺鍐呮鍜岄鍐呮,
绛旓細1銆侀潚鍏夌溂銆傛槸涓缁勪互瑙嗕钩澶磋悗缂╁強鍑归櫡銆佽閲庣己鎹熷強瑙嗗姏涓嬮檷涓哄叡鍚岀壒寰佺殑鐤剧梾锛岀梾鐞嗘х溂鍘嬪楂樸瑙嗙缁渚涜涓嶈冻鏄叾鍙戠梾鐨勫師鍙戝嵄闄╁洜绱狅紝瑙嗙缁忓鍘嬪姏鎹熷鐨勮愬彈鎬т篃涓庨潚鍏夌溂鐨勫彂鐢熷拰鍙戝睍鏈夊叧銆2銆佺櫧鍐呴殰銆傚嚒鏄悇绉嶅師鍥犲鑰佸寲锛岄仐浼犮佸眬閮ㄨ惀鍏婚殰纰嶃佸厤鐤笌浠ｈ阿寮傚父锛屽浼ゃ佷腑姣掋佽緪灏勭瓑锛岄兘鑳藉紩璧锋櫠鐘朵綋浠ｈ阿...
