目的:分析28例急性闭角型青光眼首诊内科误诊的原因及鉴别诊断方法。方法:对误诊的3例典型病例进行分析。结果:误诊为高血压15例,颅内压增高9例,急性胃肠炎4例,确诊后22例行抗青光眼手术,6例行药物保守治疗,视力>0.5者15例,手动2例。结论:内科医生对本病认识水平不足是本组病例误诊的主要原因,加强对该病的诊断意识,重视眼部检查是避免误诊的关键。

AIM:To analyze the reason of misdiagnosis and differential diagnosis of acute angle-closure glaucoma in acute episode time in 28 cases.METHODS:Three typical misdiagnosis examples were analyzed.RESULTS:Fifteen cases were misdiagnozed as hyperpie-sia,9 as intracranial hypertension,4 as acute gastroen-teritis,and counteract glaucoma operation was performed in 22 cases after final diagnosis,drug expectant treatment was performed in 6 cases. Vision exceeded 0.5 in 15 cases,hand movement in 2 cases.CONCLUSION:Deficient physician’s cognition to acute angle-closure glaucoma is the main reason for misdia-gnosis. The strengthening of diagnosis consciousness and attaching importance to examination of eyes are the key for avoiding misdiagnosis.

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