针刺睛明穴致眼底出血 1 例报告
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摘要
睛明穴（BL1）是治疗眼病的重要腧穴，但因其毗邻眶内结构，针刺操作可引发出血等并发症，眶内血肿较为多见，而针刺致眼底出血的报道则相对罕见。本文报道一例既往有高度近视及激光辅助手术史的患者，因眼部相关症状接受睛明穴（BL1）针刺治疗，于针刺后发现一侧眼底出现局限性出血。患者未予侵入性干预，以停刺、密切随访及保护性治疗为主的保守方案进行处理，随访过程中病灶逐渐吸收，视功能未见明显受损。提示我们针刺眼眶周腧穴，尤其是睛明穴（BL1）时，应充分了解患者既往眼病及眼科手术史，严格掌握针刺层次、方向与深度，谨慎操作，以降低针刺相关眼底出血等罕见并发症的风险。本病例可为针刺致眼底出血的临床识别与处理提供一定参考。
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