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中华临床医师杂志(电子版) ›› 2026, Vol. 20 ›› Issue (04) : 332 -336. doi: 10.3877/cma.j.issn.1674-0785.2026.04.011

病例报告

丘脑出血术后患者双侧偏盲的康复评定与治疗一例并文献复习
张燕1,2, 许方军1,2, 袁海1,2,()   
  1. 1 230011 安徽合肥,蚌埠医科大学附属合肥市第二人民医院康复医学科
    2 230011 安徽合肥,安徽医科大学附属合肥医院康复医学科
  • 收稿日期:2026-02-06 出版日期:2026-04-30
  • 通信作者: 袁海
  • 基金资助:
    安徽省高等学校科学研究项目(自然科学类)(2024AH050699); 安徽省中医药传承创新科研项目(2024CCCX138,2025CCCX176); 合肥市卫生健康委(HFSZYYYJ2024-13); 蚌埠医科大学科技项目(自然科学类)(2022byzd198)

Rehabilitation assessment and management of bilateral hemianopia following thalamic hemorrhage surgery: a case report and literature review

Yan Zhang, Fangjun Xu, Hai Yuan()   

  • Received:2026-02-06 Published:2026-04-30
  • Corresponding author: Hai Yuan
引用本文:

张燕, 许方军, 袁海. 丘脑出血术后患者双侧偏盲的康复评定与治疗一例并文献复习[J/OL]. 中华临床医师杂志(电子版), 2026, 20(04): 332-336.

Yan Zhang, Fangjun Xu, Hai Yuan. Rehabilitation assessment and management of bilateral hemianopia following thalamic hemorrhage surgery: a case report and literature review[J/OL]. Chinese Journal of Clinicians(Electronic Edition), 2026, 20(04): 332-336.

图1 颅脑CT示:丘脑出血。图a、b为两个不同层面右侧丘脑出血
图2 颅脑CT示:丘脑软化灶。图a、b为两个不同层面右侧丘脑出血后软化灶
图3 视野检查。图a为右眼视野检查,可见右眼鼻侧视野缺损;图b为左眼视野检查,可见左眼颞侧视野缺损
图4 颅脑MRI示:右侧丘脑软化灶改变(图中箭头所示)。图a为T1加权像;图b为T2加权像;图c为T2液体衰减反转恢复序列(FLAIR);图d为T2加权像(矢状面)
图5 左眼单眼划消实验结果
图6 右眼单眼划消实验结果
图7 视觉敏感性及视听联合训练
图8 训练后(左/右眼基本一致)
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