中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
12期
1546-1547
,共2页
早产儿%视网膜病%冷凝%激光%治疗
早產兒%視網膜病%冷凝%激光%治療
조산인%시망막병%냉응%격광%치료
Premature%Retinopathy%Congealed%Laser%Treatment
目的 探讨早产儿视网膜病发病机制、临床表现及治疗方法.方法 报道4例早产儿视网膜病,并进行文献复习.结果 4例患儿抗感染控制较好,白细胞、中性粒细胞、淋巴细胞比率均基本在正常范围内,出现医源性贫血,短暂低血糖,低血钾,凝血功能障碍.4例患儿均为早产,低出生体重儿,早期均吸氧,给予肺表面活性物质,4例患儿孕周、体重接近,病程变化及治疗相似,生后4~6周间均进行早产儿视网膜筛查,成活.例1和例2为同卵双胎,无ROP,例3和例4为同卵双胎,最终发展成ROP.结论 随着早产儿、低出生体重儿成活率逐渐增高,早产儿视网膜病的发生率及严重程度也逐步上升.冷凝治疗或激光治疗是目前治疗ROP最为成熟、效果最好的方法,但不能对其进行早期干预.
目的 探討早產兒視網膜病髮病機製、臨床錶現及治療方法.方法 報道4例早產兒視網膜病,併進行文獻複習.結果 4例患兒抗感染控製較好,白細胞、中性粒細胞、淋巴細胞比率均基本在正常範圍內,齣現醫源性貧血,短暫低血糖,低血鉀,凝血功能障礙.4例患兒均為早產,低齣生體重兒,早期均吸氧,給予肺錶麵活性物質,4例患兒孕週、體重接近,病程變化及治療相似,生後4~6週間均進行早產兒視網膜篩查,成活.例1和例2為同卵雙胎,無ROP,例3和例4為同卵雙胎,最終髮展成ROP.結論 隨著早產兒、低齣生體重兒成活率逐漸增高,早產兒視網膜病的髮生率及嚴重程度也逐步上升.冷凝治療或激光治療是目前治療ROP最為成熟、效果最好的方法,但不能對其進行早期榦預.
목적 탐토조산인시망막병발병궤제、림상표현급치료방법.방법 보도4례조산인시망막병,병진행문헌복습.결과 4례환인항감염공제교호,백세포、중성립세포、림파세포비솔균기본재정상범위내,출현의원성빈혈,단잠저혈당,저혈갑,응혈공능장애.4례환인균위조산,저출생체중인,조기균흡양,급여폐표면활성물질,4례환인잉주、체중접근,병정변화급치료상사,생후4~6주간균진행조산인시망막사사,성활.례1화례2위동란쌍태,무ROP,례3화례4위동란쌍태,최종발전성ROP.결론 수착조산인、저출생체중인성활솔축점증고,조산인시망막병적발생솔급엄중정도야축보상승.냉응치료혹격광치료시목전치료ROP최위성숙、효과최호적방법,단불능대기진행조기간예.
Objective To explore retinopathy,clinical manifestation and therapies of retinopathy of prematurity.Methods Four cases of pre-maturity of Pathogenesis were reported and the literature was reviewed.Results Four patients were given anti-infective regulation,the percentage of white blood cell,neutron-philic granulocyte and lymphocytes were all in the normal range with iatrogenic anemia.All of them underwent transitory hypo-glycaemia,hypo-kalaemia and coagulation disorders.Four cases that were given oxygen therapy and pulmonary surfactant were all premature and low birth weight infants.Case1 and case2 were monozygotic twins without retinopathy of prematurity ( ROP),case 3 and case 4 developed ROP in the final which were also monozygotic twins.Conclusions With gradually increasing survival rate of premature and low birth weight infants,the incidence of retinopathy of pre-maturity and the risk of disability increases remarkably.Nowadays,the congealed therapy or laser therapy is the best approach to treat ROP,but it cannot effectively intervene retinopathy of pre-maturity' s prognosis at early stage.