打噴嚏、用力排便 有人視網膜病變

[MK]

http://tw.news.yahoo.com/article/url/d/ ... 14ji3.html
更新日期:2008/08/21 16:05
許多人都有便秘及打噴嚏的經驗，不過台北市立聯合醫院最近有幾個病例，因為打噴嚏、排便用力，導致眼睛出現飛蚊現象，到醫院檢查之後才發現，是因為視神經盤出血，病患可能得到視網膜病變，醫師表示，用力排便、打噴嚏等動作，會增加胸內壓力，因而影響靜脈回流，導致眼內壓增加。如果出血量較多、或產生玻璃體出血，還可能視力突然喪失。(林麗玉報導)


台北市立聯合醫院有一位陳姓病患，因為屬於過敏體質，常常早上起來連續打五個以上的噴嚏，無法停止。突然一次打掃時，大力打了幾個噴嚏，還用力擤鼻涕，就突然發現眼中出現滿天飛蚊，還有一塊黑影。經過眼底檢查，發現是視神經盤出血。另外還有一位科技新貴，ㄧ天一半時間都窩在電腦前，由於有便秘情形，一次用力排便，也發現眼前出現一些黑影，經過檢查，也是視神經盤出血。聯合醫院中興院區眼科主任方怡謨表示，打噴嚏、用力排便導致視網膜血管破裂，是因為眼壓增高，促使玻璃體與視網膜拉扯增加，產生視網膜血管破裂的疾病。


醫師表示，視神經盤出血大部分患者會出現突然、無痛、浮動斑點和視野的缺損。但如果出血量較多或


產生玻璃體出血，可能會產生視力突然喪失。同時產生網膜裂孔，則必須接受雷射治療。如果只


是少量出血，可以多休息、避免劇烈活動、睡覺時床頭抬高，加速出血沉澱。

[smallant]

常有病人也因排便
而在廁所中風

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