前房积血(Contusive hyphema)分级

健康   健康   2024-11-18 08:14   浙江  


01
Wilson/Oksala/Ed-wanks Layden法分级



Ⅰ级:前房积血量在前房容积的1/3以下,血平面位于瞳孔下缘之下;

Ⅱ级:前房积血量在前房容积的1/2以下,血平面超过瞳孔下缘之下;

Ⅲ级:前房积血量在前房容积的1/2以上,甚至布满整个前房。


02
教科书中分级



血液积于前房的容量可分为3级:少于1/3为Ⅰ级;介于1/3~2/3为Ⅱ级;多于2/3为Ⅲ级。



03
其他分级1



Ⅰ级:前房积血液平面在角膜的1/4以下;

Ⅱ级:前房积血液平面在角膜的1/4~1/2;

Ⅲ级:前房积血液平面在角膜的1/2~3/4;

Ⅳ级:前房积血液平面在角膜的3/4以上.


04
其他分级2



血液积于前房的容量可分为5级:无明显积血,裂隙灯可见散在红细胞漂浮为0级;少于1/3为Ⅰ级;介于1/3~1/2为Ⅱ级;多于1/2为Ⅲ级;满前房为Ⅳ级。



Grade 0 (microhyphema): No visible pooling of blood, but red blood cells can be seen within the anterior chamber upon microscopic examination.

Grade 1: Pooling of blood in less than the lower third of the anterior chamber.

Grade 2: Blood filling one third to one half of the anterior chamber.

Grade 3: Blood filling one half to less than all of the anterior chamber.

Grade 4: Total filling of the anterior chamber with blood. If the blood is bright red, this is called a total hyphema. If it is dark red-black blood, it's sometimes called an "8-ball hyphema."



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