中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
7期
908-911
,共4页
袁久民%赵斌%张佐红%王芳%潘庆敏%王艺
袁久民%趙斌%張佐紅%王芳%潘慶敏%王藝
원구민%조빈%장좌홍%왕방%반경민%왕예
白内障摘除%手术并发症%高眼压%浅前房%灌注液迷流综合征%后房穿刺%玻璃体中央管穿刺
白內障摘除%手術併髮癥%高眼壓%淺前房%灌註液迷流綜閤徵%後房穿刺%玻璃體中央管穿刺
백내장적제%수술병발증%고안압%천전방%관주액미류종합정%후방천자%파리체중앙관천자
Cataract extraction%Surgical complications%Ocular hypertension%Shallow of anterior chamber%Infusion misdirection syndrome%Puncture of posterior chamber%Puncture of central canal of Stilling
目的 探讨后房玻璃体中央管穿刺在灌注液迷流综合征中的应用效果.方法 对在白内障或透明晶状体超声乳化或手法小切口摘除联合人工晶状体植入手术(以下简称晶状体手术)中遇到的12例灌注液迷流综合征患者,即刻给予后房玻璃体中央管穿刺抽液0.15～0.30ml,并酌情降低灌注液压力、调整灌注液流向.观察其液体抽取成功率、需抽取液体次数、降压效果,以及可能发生的并发症等.结果 12例患者均经1～4次(平均2.58次)后房玻璃体中央管穿刺抽液得以继续在低后房压力、高前房容积情形下顺利完成晶状体手术,未见眼内出血、视网膜脱离等严重并发症发生.结论 对在晶状体手术中发生的灌注液迷流综合征患者,后房玻璃体中央管穿刺不失是一种安全、有效、快捷、简便地处理措施,值得临床推广试用.
目的 探討後房玻璃體中央管穿刺在灌註液迷流綜閤徵中的應用效果.方法 對在白內障或透明晶狀體超聲乳化或手法小切口摘除聯閤人工晶狀體植入手術(以下簡稱晶狀體手術)中遇到的12例灌註液迷流綜閤徵患者,即刻給予後房玻璃體中央管穿刺抽液0.15～0.30ml,併酌情降低灌註液壓力、調整灌註液流嚮.觀察其液體抽取成功率、需抽取液體次數、降壓效果,以及可能髮生的併髮癥等.結果 12例患者均經1～4次(平均2.58次)後房玻璃體中央管穿刺抽液得以繼續在低後房壓力、高前房容積情形下順利完成晶狀體手術,未見眼內齣血、視網膜脫離等嚴重併髮癥髮生.結論 對在晶狀體手術中髮生的灌註液迷流綜閤徵患者,後房玻璃體中央管穿刺不失是一種安全、有效、快捷、簡便地處理措施,值得臨床推廣試用.
목적 탐토후방파리체중앙관천자재관주액미류종합정중적응용효과.방법 대재백내장혹투명정상체초성유화혹수법소절구적제연합인공정상체식입수술(이하간칭정상체수술)중우도적12례관주액미류종합정환자,즉각급여후방파리체중앙관천자추액0.15～0.30ml,병작정강저관주액압력、조정관주액류향.관찰기액체추취성공솔、수추취액체차수、강압효과,이급가능발생적병발증등.결과 12례환자균경1～4차(평균2.58차)후방파리체중앙관천자추액득이계속재저후방압력、고전방용적정형하순리완성정상체수술,미견안내출혈、시망막탈리등엄중병발증발생.결론 대재정상체수술중발생적관주액미류종합정환자,후방파리체중앙관천자불실시일충안전、유효、쾌첩、간편지처리조시,치득림상추엄시용.
Objective To discuss the clinical effect of Puncture of Posterior Chamber Central Canal of Stilling in the treatment of Infusion Misdirection Syndrome.Methods Twelve patients with Infusion Misdirection Syndrome received the treatment of puncture of posterior chamber central canal of stilling (0.15-0.3ml) instantly,which reduced the perfusate pressure and adjust the perfusate afflux appropriately in the phacoemulsification and small-incision non-phacoemulsifiation for cataract or transparent lens (Hereinafter referred to as lens surgery).The successful rate of extracted fluid,the frequency needed of extracted fluid,the effect of pressure reducing and some possible complications were observed.Results Although all of the 12 patients had low posterior chamber pressure and high anterior chamber volume,their lens surgery were fulfilled successfully after puncture of posterior chamber central canal of stilling 1～4 times (2.58 times in average) and without any serious complications such as intraocular hemorrhage,retinal detachment and so on.Conclusions For the lens surgery patients having infusion misdirection syndrome,puncture of posterior chamber central canal of stilling is a safe,effective,convenient,easy emergency treatment measure.It is worthy of clinical trial.
