AIM： To determine the association between the binocular vision and an abnormal head posture（AHP）when watching television（TV） in children 7-14 y of age.·METHODS： Fifty normal children in the normal group and...AIM： To determine the association between the binocular vision and an abnormal head posture（AHP）when watching television（TV） in children 7-14 y of age.·METHODS： Fifty normal children in the normal group and 52 children with an AHP when watching TV in the AHP group were tested for spherical equivalents, far and near fusional convergence（FC） and fusional divergence（FD） amplitudes, near point of convergence, far and near heterophoria, accommodative convergence/accommodation ratio and stereoacuity. The values of these tests were compared between the two groups. The independent t test was applied at a confidence level of95%.·RESULTS： The far and near FC amplitudes and far FD amplitudes were lower in the AHP group（the far FC amplitudes： break point 13.6±5.4~△, recovery point 8.7±5.4~△.The near FC amplitudes： break point 14.5 ±7.3~△, recovery point 10. 3 ± 5. 1~△. The far FD amplitudes ： break point3.9±2.7~△, recovery point 2.6±2.3~△） compared with those in the normal group（the far FC amplitudes： break point19.1 ±6.2△, recovery point 12.4 ±4.5~△. The near FC amplitudes： break point 22.3 ±8.0~△, recovery point 16.1 ±5.7~△. The far FD amplitudes： break point 7.0 ±2.1~△,recovery point 4.6 ±1.9~△）. Other tests presented no statistically significant differences.·CONCLUSION： An association between the reduced FC and FD amplitudes and the AHP in children when watching TV is proposed in the study. This kind of AHP is considered to be an anomalous manifestation which appears in a part of puerile patients of fusional vergence dysfunction.展开更多
患者,女性,58岁,因"发热伴咳嗽、咳痰加重9 d"以"肺部感染"收入院,完善相关检查后补充诊断感染性心内膜炎。患者青霉素皮试阳性,庆大霉素过敏,遂予去甲万古霉素0.8 g q12h联合左氧氟沙星0.4 g qd静滴抗感染治疗。...患者,女性,58岁,因"发热伴咳嗽、咳痰加重9 d"以"肺部感染"收入院,完善相关检查后补充诊断感染性心内膜炎。患者青霉素皮试阳性,庆大霉素过敏,遂予去甲万古霉素0.8 g q12h联合左氧氟沙星0.4 g qd静滴抗感染治疗。去甲万古霉素第1次静滴约10 min后患者诉左眼视野内出现弹簧状"C"形强光斑,直径约10 cm,闭眼时不消失,无视力、视色、视野变化,无畏光等表现。停止输注去甲万古霉素,约半小时后强光斑逐渐消失,眼科会诊未见异常。更换为头孢曲松2 g qd联合左氧氟沙星0.4 g qd静脉抗感染治疗,症状未再出现。展开更多
基金Supported by the Scientific and Technological Project of Henan Scientific Committee(No.112102310193No.122102310132+2 种基金No.132102310132)the Key Scientific Research Project of Education Department of HenanProvince(No.12A320068)the Medical Science Research Project of Henan Province(No.201003112)
文摘AIM： To determine the association between the binocular vision and an abnormal head posture（AHP）when watching television（TV） in children 7-14 y of age.·METHODS： Fifty normal children in the normal group and 52 children with an AHP when watching TV in the AHP group were tested for spherical equivalents, far and near fusional convergence（FC） and fusional divergence（FD） amplitudes, near point of convergence, far and near heterophoria, accommodative convergence/accommodation ratio and stereoacuity. The values of these tests were compared between the two groups. The independent t test was applied at a confidence level of95%.·RESULTS： The far and near FC amplitudes and far FD amplitudes were lower in the AHP group（the far FC amplitudes： break point 13.6±5.4~△, recovery point 8.7±5.4~△.The near FC amplitudes： break point 14.5 ±7.3~△, recovery point 10. 3 ± 5. 1~△. The far FD amplitudes ： break point3.9±2.7~△, recovery point 2.6±2.3~△） compared with those in the normal group（the far FC amplitudes： break point19.1 ±6.2△, recovery point 12.4 ±4.5~△. The near FC amplitudes： break point 22.3 ±8.0~△, recovery point 16.1 ±5.7~△. The far FD amplitudes： break point 7.0 ±2.1~△,recovery point 4.6 ±1.9~△）. Other tests presented no statistically significant differences.·CONCLUSION： An association between the reduced FC and FD amplitudes and the AHP in children when watching TV is proposed in the study. This kind of AHP is considered to be an anomalous manifestation which appears in a part of puerile patients of fusional vergence dysfunction.
文摘患者,女性,58岁,因"发热伴咳嗽、咳痰加重9 d"以"肺部感染"收入院,完善相关检查后补充诊断感染性心内膜炎。患者青霉素皮试阳性,庆大霉素过敏,遂予去甲万古霉素0.8 g q12h联合左氧氟沙星0.4 g qd静滴抗感染治疗。去甲万古霉素第1次静滴约10 min后患者诉左眼视野内出现弹簧状"C"形强光斑,直径约10 cm,闭眼时不消失,无视力、视色、视野变化,无畏光等表现。停止输注去甲万古霉素,约半小时后强光斑逐渐消失,眼科会诊未见异常。更换为头孢曲松2 g qd联合左氧氟沙星0.4 g qd静脉抗感染治疗,症状未再出现。
