CAJ | 학술논문

目的总结白内障超声乳化手术术中及术后24 h内突发严重全身合并症患者的临床特点及处理方法.方法回顾性临床研究.收集2010年1月到2013年12月在西安市第四医院眼科白内障组进行白内障超声乳化手术治疗的患者共15 246例,分析所有从术中到术后24 h内出现严重全身合并症患者的年龄、性别、发病时间、疾病类型及转归.结果共有12例出现术中及术后24 h严重全身合并症,发生率为0.07％,平均年龄为(76.7±7.1)岁.其中男性6例,女性6例;有1例患者因术中出现严重全身合并症而暂停手术,给予急救处理,其余11例患者的全身合并症均在术后24 h内出现.术中及术后24 h严重全身合并症包括:脑出血、脑梗死、吸入性肺炎、急性心肌梗死、急性胆囊炎.所有出现严重全身合并症患者经过急救处理或相关专科处理,病情稳定后出院.完成手术的11例眼部病情稳定,术后视力均得到不同程度提高.结论白内障超声乳化手术术中及术后24 h内可能发生全身严重合并症,眼科医师应注意观察,谨慎处理.
목적 총결백내장초성유화수술술중급술후24 h내돌발엄중전신합병증환자적림상특점급처리방법.방법 회고성림상연구.수집2010년1월도2013년12월재서안시제사의원안과백내장조진행백내장초성유화수술치료적환자공15 246례,분석소유종술중도술후24 h내출현엄중전신합병증환자적년령、성별、발병시간、질병류형급전귀.결과 공유12례출현술중급술후24 h엄중전신합병증,발생솔위0.07％,평균년령위(76.7±7.1)세.기중남성6례,녀성6례;유1례환자인술중출현엄중전신합병증이잠정수술,급여급구처리,기여11례환자적전신합병증균재술후24 h내출현.술중급술후24 h엄중전신합병증포괄:뇌출혈、뇌경사、흡입성폐염、급성심기경사、급성담낭염.소유출현엄중전신합병증환자경과급구처리혹상관전과처리,병정은정후출원.완성수술적11례안부병정은정,술후시력균득도불동정도제고.결론 백내장초성유화수술술중급술후24 h내가능발생전신엄중합병증,안과의사응주의관찰,근신처리.
Objective To summarize the clinical features and treatment of serious systemic complications occurred during or postoperative within 24 hours of phacoemulsification,provide guidance to deal with such situations for ophthalmologists.Methods A retrospective clinical study.Collected 15246 cases who had phacaemulsification from January 2010 to December 2013 in Xi'an NO.4 hospital.Those patients who had occurred serious systemic complications during or postoperative within 24 hours of phacoemulsification was recorded.The patients' age,sex,time of onset,disease and outcome were analyzed.Results The ratio of serious systemic complications of our study was 0.07％,the average age of those patients was 76.7±7.1 years,there were 6 males and 6 females; one of those patients had suspended operation because of serious systemic complications,other eleven patients occurred serious systemic complications at postoperative within 24 hours of phacoemulsification.Serious systemic complications included:cerebral hemorrhage,cerebral infarction,acute myocardial infarction,aspiration pneumonia,acute cholecystitis.All those patients were in stable condition left hospital after emergency treatment or related specialist treatment.The visual acuity was restored to varying degrees of those 11 patients who completed surgery.Conclusions Serious systemic complications may occur during or postoperative within 24 hours of phacoemulsification,ophthalmologist should observe and dispose carefully.