中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2014年
2期
146-147
,共2页
泪道冲洗,前倾式%应用,临床
淚道遲洗,前傾式%應用,臨床
루도충세,전경식%응용,림상
Irrigation,lacrimal,lean forward%Application,clinical
目的 探讨前倾式泪道冲洗方法的临床实用意义.方法 将5ml注射器吸满冲洗液与消毒的自制泪道冲洗器连接备用;患者取坐位,头部后仰,内眦部滴入表面麻醉剂.术者将自制冲洗针头插入患眼泪点,一手拇指或食指或胶布固定冲洗器的硅胶管于颞部;之后瞩患者上肢躯干向正前方倾斜30°,头部向前下倾斜45°,另一手推注射器,边推边观察眼、鼻部水流情况.结果应用该方法20000余次无一呛咳、恶心不适,而且便于观察冲洗液流向及质量,可当即明确诊断.结论前倾式泪道冲洗方法在诊断、治疗泪道病方面方便易行,适合临床应用,特别是儿童.
目的 探討前傾式淚道遲洗方法的臨床實用意義.方法 將5ml註射器吸滿遲洗液與消毒的自製淚道遲洗器連接備用;患者取坐位,頭部後仰,內眥部滴入錶麵痳醉劑.術者將自製遲洗針頭插入患眼淚點,一手拇指或食指或膠佈固定遲洗器的硅膠管于顳部;之後矚患者上肢軀榦嚮正前方傾斜30°,頭部嚮前下傾斜45°,另一手推註射器,邊推邊觀察眼、鼻部水流情況.結果應用該方法20000餘次無一嗆咳、噁心不適,而且便于觀察遲洗液流嚮及質量,可噹即明確診斷.結論前傾式淚道遲洗方法在診斷、治療淚道病方麵方便易行,適閤臨床應用,特彆是兒童.
목적 탐토전경식루도충세방법적림상실용의의.방법 장5ml주사기흡만충세액여소독적자제루도충세기련접비용;환자취좌위,두부후앙,내자부적입표면마취제.술자장자제충세침두삽입환안루점,일수무지혹식지혹효포고정충세기적규효관우섭부;지후촉환자상지구간향정전방경사30°,두부향전하경사45°,령일수추주사기,변추변관찰안、비부수류정황.결과응용해방법20000여차무일창해、악심불괄,이차편우관찰충세액류향급질량,가당즉명학진단.결론전경식루도충세방법재진단、치료루도병방면방편역행,괄합림상응용,특별시인동.
Objective To observe the clinical application of self-made flushing apparatus with forward posture in irrigation of lacimal passage.Methods The self-made flushing apparatus was sterilized and connected with 5ml syringe filled with irrigation solution.The patient was seated with head backward and the surface anesthesia was dropped in the inner canthus.The self-made flushing needle was inserted in the punctum and the silicone tube was fixed at the temporal side by medical adhesive plaster or finger.Then the patient was asked to lean forward 30° With head down and forward at 45° angle.The lacrimal passage was irrigated and the fluid reflux was observed.Results About 20,000 patients had undergone this procedure.No choking cough or nausea was observed.The quality and quantity of reflux fluid were observed which was helpful of the diagnosis.Conclusion irrigation of lacrimal passage technique by self-made flushing apparatus with forward posture is easy to operate with good clinical efficacy,which is suitable for pediatric patients.
