甲型流感病毒N1亞型核酸檢測(cè)試劑盒

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【公司名稱】 廣州健侖生物科技有限公司
【市場(chǎng)部】    楊永漢

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【騰訊  】 2042552662
【公司地址】 廣州清華科技園創(chuàng)新基地番禺石樓鎮(zhèn)創(chuàng)啟路63號(hào)二期2幢101-103室

7.全身循環(huán)障礙和代謝障礙以及遺傳性疾病所致各種眼病變 高血壓性視網(wǎng)膜病變，糖尿病性視網(wǎng)膜病變，腎炎性視網(wǎng)膜病變，妊娠高血壓綜合征性視網(wǎng)膜病變，血液病性視網(wǎng)膜病變，視網(wǎng)膜色素變性，黃斑變性，缺血性視神經(jīng)病變，Leber病等各種眼底病變，糖尿病性白內(nèi)障。

患者主訴視力減退，首先應(yīng)當(dāng)了解確切的視力情況，包括遠(yuǎn)視力和近視力，以除外屈光不正和老視。若遠(yuǎn)、近視力均不好，則應(yīng)看有無(wú)眼紅，即睫狀充血。如存在睫狀充血，應(yīng)當(dāng)考慮角膜炎、虹膜睫狀體炎(包括外傷所致)、閉角型青光眼。若無(wú)睫狀充血，則應(yīng)檢查屈光間質(zhì)有無(wú)混濁，如角膜癲痕、變性、白內(nèi)障、玻璃體混濁等?；?yàn)殚_(kāi)角型青光眼、眼底病變。通過(guò)眼底檢查，對(duì)視網(wǎng)膜、脈絡(luò)膜、視神經(jīng)病變可以明確。如上述病變均不明顯，則要通過(guò)視野檢查除外視路病變。若均為細(xì)菌性，應(yīng)除外弱視。當(dāng)然還需結(jié)合主訴中的其他癥狀全面分析。因此詳細(xì)詢

詳細(xì)詢問(wèn)視力障礙的發(fā)生發(fā)展過(guò)程。視力障礙是單眼還是雙眼;是同時(shí)還是先后發(fā)生;是迅速發(fā)生還是逐漸發(fā)生;是遠(yuǎn)視力差，還是近視力差，抑或遠(yuǎn)近視力都差。有無(wú)其他癥狀，如眼充血、羞明、流淚、疼痛，以除外角膜炎、虹膜睫狀體炎。頭痛、眼脹、霧視、虹視為除外青光眼。單眼復(fù)視，考慮角膜、晶體、玻璃體中線的混濁。晶體半脫位。暗點(diǎn)、色視、小視、夜盲、視物變形、視野缺損、眼前黑影飄動(dòng)、閃光感等癥狀，應(yīng)考慮有眼底病變。并注意有無(wú)外傷史。

視力障礙可由全身性疾病引起，故全面體檢非常重要。尤其應(yīng)注意神經(jīng)、心血管及內(nèi)分泌等系統(tǒng)的檢查。眼部檢查：必須系統(tǒng)、全面地從眼外到眼內(nèi)進(jìn)行檢查。先右后左，以防遺漏重要體征。

視力包括遠(yuǎn)視力和近視力檢查，以及對(duì)視力障礙有一個(gè)初步印象。遠(yuǎn)視力不佳、近視力尚好，可能為近視、散光等。近視力不佳、遠(yuǎn)視力良好，可能為遠(yuǎn)視。40歲以上者考慮為老視。遠(yuǎn)、近視力均不佳，可為遠(yuǎn)視或散光，或是屈光間質(zhì)混濁，眼底或視神經(jīng)病變，顱內(nèi)病變等。如有睫狀充血應(yīng)考慮角膜炎，虹膜睫狀體炎，青光眼。視力突然障礙，可能為視網(wǎng)膜中央動(dòng)脈阻塞，缺血性視神經(jīng)病變。數(shù)天內(nèi)視力迅速減退，可能為視網(wǎng)膜中央靜脈阻塞、視網(wǎng)膜脫離、玻璃體出血、眼及顱腦外傷、中毒、顱內(nèi)急性病變等。無(wú)光感可能系視神經(jīng)萎縮、眼球萎縮。眼球密、期青光眼、皮質(zhì)盲等。對(duì)上述視力有了初步印象后，應(yīng)按一定的步驟，從前向后逐步深人地檢查。

7. systemic circulatory disorders and metabolic disorders and genetic diseases caused by a variety of ocular hypertension hypertensive retinopathy, diabetic retinopathy, nephritis retinopathy, pregnancy-induced hypertension retinopathy, hematologic retinopathy, retinal Pigmented degeneration, macular degeneration, ischemic optic neuropathy, Leber disease and other retinal lesions, diabetic cataracts.

Patients complain of vision loss, first of all should understand the exact visual acuity, including far vision and near vision to exclude refractive errors and presbyopia. If far, near vision is not good, you should see whether there is jealous, that ciliary hyperemia. If there is ciliary congestion, should consider keratitis, iridocyclitis (including trauma caused), angle closure glaucoma. If there is no ciliary hyperemia, you should check the refractive media with or without turbidity, such as corneal epilepsy, degeneration, cataract, vitreous opacity and so on. Or open-angle glaucoma, retinopathy. Through the fundus examination, the retina, choroid, optic neuropathy can be clear. If the above lesions are not obvious, you have to pass the visual field test except for pathological changes. If all are bacterial, should be excluded amblyopia. Of course, combined with the other complaints in the main comprehensive analysis. So detailed inquiry

Asked in detail about the occurrence and development of visual impairment. Is the visual impairment is monocular or binocular; is also occurred at the same time; is rapid or gradually occurs; is poor or poor near-vision vision, or distance vision is poor. With or without other symptoms, such as eye congestion, shame, tears, pain, to exclude keratitis, iridocyclitis. Headache, swollen eyes, fog, rainbow as the exception of glaucoma. Monocular diplopia, consider the cornea, crystal, vitreous midline opacity. Subluxation of crystals. Dark spots, color, small, night blindness, visual distortion, visual field defects, the immediate shadow flashes, flash and other symptoms, should consider the fundus lesions. And pay attention to whether there is a history of trauma.

Vision disorders can be caused by systemic disease, so a comprehensive medical examination is very important. In particular, should pay attention to nervous, cardiovascular and endocrine system checks. Eye examination: Must be systematic, comprehensive examination from the outside of the eye to the eye. Right first left, to prevent missing important signs.

Vision, including far vision and near vision examination, as well as a preliminary impression of visual impairment. Poor far vision, near vision is good, may be myopia, astigmatism and so on. Near vision is poor, good far vision, hyperopia may be. Over 40 years old consider presbyopia. Far, near vision is not good, for hyperopia or astigmatism, or refractive media opacity, fundus or optic neuropathy, intracranial lesions. If ciliary congestion should be considered keratitis, iridocyclitis, glaucoma. Abrupt vision loss may be blocked central retinal artery, ischemic optic neuropathy. Visual acuity rapidly decreased within a few days, may be the central retinal vein occlusion, retinal detachment, vitreous hemorrhage, eye and head trauma, poisoning, intracranial acute lesions. No light feeling may be optic nerve atrophy, eye atrophy. Eyeball, absolute glaucoma, cortical blindness. After the initial impression of the above vision, according to certain steps, step by step from before to examine.