问题库/急救与意外
眼睛又胀又痛、看灯有彩虹，能不能等明天再看
别等，当天就去眼科急诊，让医生量眼压、查前房。这可能是青光眼急性发作，眼睛里的水排不出去，眼压顶上去会压坏视神经，拖得越久留下看不见的可能越大。
这里不保证什么
这里说的是胀痛、看灯有彩虹、头痛恶心这几样同时出现的情况；只是眼干、看屏幕久了发酸，不必按这条走。别揉眼，也别当成胃肠炎。
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一只眼又胀又痛、发红，看灯有一圈彩虹，还头痛恶心想吐，当天去眼科急诊
这可能是青光眼急性发作，眼睛里的水排不出去，眼压顶上去，压坏连着大脑的视神经。拖得越久，留下看不见的可能越大。武汉封控期间的病人平均拖了 241 小时才治上，失明的占 21.87%。第二年同期没封控，平均拖 121 小时，失明的占 7.84%。
- 先看眼睛红不红、疼不疼、看灯有没有一圈彩虹
- 当天去眼科急诊，让医生量眼压、查前房，别按胃肠炎处理
- 把头痛恶心的程度说清楚，别等第二天门诊，别揉眼
坑别把眼胀痛加头痛恶心当成胃肠炎或偏头痛；这是翻旧病历比出来的结果，封控带来的别的差别分不开。
成本：不花钱。眼科急诊量眼压、查前房，占掉半天。第 13 节 · 紧急情况：先做什么
出处
Zhou L, Wu S, Wang Y, Bao X, Peng T, Luo W, Ortega-Usobiaga J (2022). Clinical presentation of acute primary angle closure during the COVID-19 epidemic lockdown. Frontiers in Medicine, 9, 1078237. <https://doi.org/10.3389/fmed.2022.1078237> ; Sung MS, Kim HJ, Park SW (2023). Predictors of long-term visual field outcome after an episode of acute primary angle closure. Clinical & Experimental Ophthalmology, 51(4), 291-299. <https://doi.org/10.1111/ceo.14206> ; Wang J, Wang J, Ng TK, Huang C (2025). Asymmetric intraocular pressure changes in dominant and contralateral eyes: the dark room prone provocative test. Seminars in Ophthalmology, 40(4), 325-331. <https://doi.org/10.1080/08820538.2024.2443972> ; NHS. Glaucoma：「Sometimes glaucoma can develop suddenly and cause symptoms such as: intense eye pain, a red eye, tenderness around the eyes, seeing rainbow-coloured circles around bright lights, blurred vision, feeling sick (nausea) and being sick, a headache」「This happens when the fluid in your eye cannot drain as it should」. <https://www.nhs.uk/conditions/glaucoma/> ; Lin SF, Xiao H, Chen LM, et al. (2022). [Clinical features of young inpatients with angle-closure glaucoma]. 中华眼科杂志, 58(1), 28-34. <https://doi.org/10.3760/cma.j.cn112142-20210301-00104>
一只眼睛突然像拉下窗帘一样黑掉，哪怕几分钟就自己好了，也当天按卒中去急诊
一只眼突然像拉下窗帘一样黑掉，可能是眼底血管堵了，堵得越久，能救回的视网膜越少。它也是脑缺血的一种，几分钟就好了也要去。小中风和短暂脑缺血改成当天评估、当天治，90 天内再中风从 10.3% 降到 2.1%。当天去有卒中中心的急诊，别等第二天。
- 看表记下这只眼黑掉的时刻，以及黑了多久
- 当天去有卒中中心的医院急诊，说清是单眼突然看不见
- 症状自己好了也照去，把发作时间说给医生，别揉眼别等
坑眼前一黑几分钟又恢复，最容易被当成累的或者低血糖放过去；NHS 写明症状自己停了也要立刻求医。
成本：不花钱。急诊评估和血管检查要占掉半天到一天。第 13 节 · 紧急情况：先做什么
出处
Mac Grory B, Schrag M, Biousse V, et al. (2021). Management of Central Retinal Artery Occlusion: A Scientific Statement From the American Heart Association. Stroke, 52(6), e282-e294：「Central retinal artery occlusion (CRAO) is a form of acute ischemic stroke that causes severe visual loss and is a harbinger of further cerebrovascular and cardiovascular events」. <https://doi.org/10.1161/STR.0000000000000366> ；NHS. Symptoms of a stroke：「blurred vision or loss of sight in 1 or both eyes」「Symptoms of a stroke can sometimes stop after a short time, so you may think you're OK. Even if this happens, get medical help straight away」「you've had signs of a stroke within the last 24 hours even if they've now stopped」. <https://www.nhs.uk/conditions/stroke/symptoms/> ; Rothwell PM, Giles MF, Chandratheva A, et al. (2007). Effect of urgent treatment of transient ischaemic attack and minor stroke on early recurrent stroke (EXPRESS study): a prospective population-based sequential comparison. Lancet, 370(9596), 1432-1442. <https://doi.org/10.1016/S0140-6736(07)61448-2>
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这条回答是给一个正在着急的人写的，不是法律意见或医嘱。 金额大、动到人身、或者已经进到程序里，去找律师、医生和办事窗口。