Clinical Characteristics and Surgical Problems of Ruptured Globe Injury

来源 :世界中医药学会联合会眼科专业委员会第四届学术年会、中国中西医结合学会眼科专业委员会第十二届中西医结合学术年会、中华中医药 | 被引量 : 0次 | 上传用户:sirius1394
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
  OBJECTIVE: To analyze ciliary and choroid lesions characteristics and outcomes of a group of patients with raptured globe injuries.To find out more effective treatment protocol and to introduce our treatment experience of ruptured globe injuries.METHODS: 75 cases (75 eyes) diagnosed as ruptured globe injuries were selected from 264 cases of open globe injuries at the Shierming Eye Hospital of Shandong province between Jan, 2009 and Dec, 2011.The general information, clinical characteristics such as ciliary and choroid lesions features were reviewed.RESULTS: Of the 75 cases, 85.3% were men, and the average age of the patients was 37.2 years (6-63 years).52.0% were hurt in right eyes.9 cases finally resulted in enucleation, and the final corrected visual acuity of another 3 cases was no light perception.The ratio of better visual acuity (better than 0.1) increased from zero preoperatively to 16.0% postoperatively.Among 75 rupture cases, 13 cases were with ciliary injury, 47 cases (62.7%) were with choroid injuries.Both ciliary and choroid injuries were detected in 15 cases.Retinal tissue incarceration during sclera suturing was usually the vital point leading to unfavorable results.CONCLUSIONS: Ruptured globe injury usually results in severe visual acuity damage.Active treatments could help patients to restore visual acuity to some degree.Some effective treatments protocol for ruptured globe injuries could be followed.Some unsuitable procedures in primary treatment should be avoided for better prognosis.
其他文献
目的:观察总结血液净化治疗儿童肾病综合症难治性水肿的护理,为儿童血液净化治疗护理提供临床指导.方法:血液净化治疗42例肾病综合征难治性水肿患者,并探讨分析其专科护理经验.结果:通过专科护理后,在运用血液净化治疗过程中非常顺利,无明显并发症产生.结论:血液净化治疗儿童肾病综合症成功的关键在于细致和专业的护理,并且在治疗过程中,对患儿及其家属进行必要的宣传指导,使其更好的配合整个治疗过程,是不可忽视的
慢性肾衰竭(chronic renal failure)简称慢性肾衰,是指原发性或继发性慢性肾疾患所致肾功能损害和进行性恶化,从而出现的一系列症状和代谢紊乱组成的临床综合征.目前在慢性肾衰的治疗中,主要有饮食疗法、对症治疗及血液净化疗法等。慢性肾衰病人的总体治疗目标是病人能够:①主诉焦虑减轻;②皮肤无破损;③无感染发生;④维持营养平衡;⑤维持出入量平衡;⑥主诉活动能力加强;⑦无并发症发生。
本文通过对2010-02-2011-03 68例肾病患儿的护理,通过严密观察病情变化,积极有效的预防和控制继发感染;控制休息与活动;加强高度水肿、尿少期护理;重视皮肤护理;观察药物疗效及不良反应。受到较好的临床效果。
为进一步观察该方对NF-κB通路的影响,本研究从抑制NF-κB激活角度,探讨健脾清化方对阿霉素致局灶节段硬化肾病模型大鼠FSGS的影响,进一步探讨健脾清化方改善肾纤维化的机制。研究表明,具有清热化湿功效的健脾清化方与清化方对P-NF-κB p65,TNF-α,TRAF6的抑制效果明显,因此清热化湿法能有效抑制NF-KB通路的活化,而健脾方不能减少P-NF-KB p65的表达,健脾益气法不能有效抑制
目的:探讨在视网膜脱离填充术患者应用中医临床护理路径的效果.方法:将60例视网膜脱离填充术患者按随机数字表法分为实验组和对照组,对照组按视网膜脱离填充术常规护理;实验组采用中医临床护理路径,充分发挥中医情志护理和中医饮食调护的特点,给予穴位按摩、耳穴压豆及拔火罐等中医特色护理措施.比较患者术后舒适度和对护理工作的满意度.结果:观察组较对照组实验组患者术后舒适度和对护理工作的满意度均优于对照组(p<
会议
巩膜炎是由巩膜的炎性反应导致,但也可以与多种感染性和非感染性的眼部和系统性疾病相关.本文通过对巩膜炎的流行病学、分类、诊断与鉴别诊断、临床表现、并发症及治疗等方面的介绍,提出当诊断巩膜炎时,医生要关注患者的全身及眼部临床表现,进行综合考虑和相关全身检查,以选择适宜的治疗方案。尤其是病情紧急甚至危及生命时,往往需要多科医师联合诊治,以控制患者病情、提高患者生命质量、降低病死率。
角膜溃疡中医眼科称为"花翳白陷"、"凝脂翳"、"黄液上冲"、"蟹晴"等,庞赞襄主任医师拟定的银花复明汤, 常用于治疗肝胃实热型角膜疡溃, 效果颇佳.
会议