小儿泪器损伤

来源 :眼外伤与职业性眼病 | 被引量 : 0次 | 上传用户:p2908892
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外伤性、先天性或其他原因所致之儿童泪道阻塞之处理: 鼻泪道损伤主要用泪道鼻腔吻合术。手术方法与一般常用方法同,年龄不妨碍做此手术,本组病例最小的年龄为7月。鼻泪管探通术主要用在先天性泪道阻塞及面部中1/3骨折的外伤病人,在骨折症状减轻后及早做探查术为好,本组就诊晚的病人效果均不好。先天性泪道阻塞除顽固感染或先天性粘液囊肿需紧急处理外,探通手术应推迟到6月以后为好,有些病例用简单的操作如每日压迫泪囊区3—4次亦可治愈,婴儿可在全麻下用Foster探子探通泪道,这种探子只有0.6—0.8毫米,要在鼻腔内见到探子才能说 Traumatic, congenital or other causes of children with lacrimal duct obstruction treatment: nasolacrimal duct lacrimal nasolacrimal duct injury primarily with anastomosis. Surgical methods and methods commonly used in the same age do not prevent doing this surgery, the minimum age of this group of patients in July. Nasolacrimal duct exploration is mainly used in traumatic patients with congenital lacrimal duct obstruction and facial 1/3 fractures, as early as possible after the reduction of the symptoms of the fracture to do exploration as well, this group of patients with late treatment results are not good. Congenital lacrimal duct obstruction in addition to stubborn infection or congenital mucus cysts need urgent treatment, exploration exploration surgery should be postponed until after June as well, in some cases with simple operations such as daily compression of the lacrimal sac area 3-4 times can be cured , The baby can probe the lacrimal passage with Foster’s probe under general anesthesia, this kind of probe is only 0.6-0.8 millimeter, must see in the nasal cavity the spit can say
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