眼内术后眼睛持续性疼痛29例原因分析

来源 :中国误诊学杂志 | 被引量 : 0次 | 上传用户:weilijay
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目的分析眼内术后眼睛持续疼痛的原因,以求减少发生和有效治疗。方法对29例眼内手术后眼睛持续疼痛的患者进行检查、治疗、总结。结果 29例患者37只眼行眼内手术,其中29只眼出现术后持续性疼痛,其部位皆在眶上切迹处。9例有明显压痛,20例伴有头痛。疼痛持续时间长短不一,最短者2个月15例,6个月者9例,1 a者4例,2.5 a者1例。经过治疗大多数患者都能治愈。结论眶上切迹处是眼内手术时局部麻醉进针部位之一,眼内术后眼睛持续疼痛的原因是注射麻醉药时针头刺伤了眶上神经。 Objective To analyze the causes of continuous eye pain after intraocular surgery in order to reduce the incidence and effective treatment. Methods Twenty-nine patients with persistent eye pain after intraocular surgery were examined, treated and summarized. Results Thirty-seven eyes of 29 patients underwent intraocular surgery. Of the 29 eyes, 29 had postoperative persistent pain, and all of them were located at the supraorbital notch. Nine patients had tenderness and 20 had headache. The duration of pain varied from 15 in 2 months to 9 months in 6 months, 4 cases in 1 year and 1 case in 2.5 years. After treatment, most patients can be cured. Conclusions The supraorbital notch is one of the local anesthetic needle sites during intraocular surgery. The reason for continuous eye pain after intraocular surgery is that the needle punctured the supraorbital nerve during the anesthetic injection.
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