论文部分内容阅读
目的:探讨球筋膜下麻醉新技术在内眼手术麻醉中的优点及其作用机理。方法:应用球筋膜下麻醉456只眼,其中白内障超声乳化人工晶体植入77只眼,ECCEIOL 346只眼,小梁切除33只眼,在颞下方近角巩缘球结膜小切口伸入钝性硅胶注射管注射2％利多卡因和0.75％布比卡因混合液2ml,球筋膜下充满药液,即可开始各种手术操作。结果:456只眼手术安全,取得同球后、球周麻醉一样的效果。结论:球筋膜下麻醉采用钝性硅胶注射管避免了对视神经、动、静脉血管、眼肌及眼球壁的机械性损伤,注射方法简单,临床应用证明,它是一种安全、有效的局部麻醉的方法。眼科学报1999;15:127—128。
Objective: To investigate the advantages and mechanism of new technique of subarachnoid anesthesia in intraocular anesthesia. Methods: 456 eyes were under suboccluded anesthesia, including 77 eyes implanted with cataract phacoemulsification, 346 eyes ECCEIOL, 33 eyes trabeculectomy, The injection of 2% lidocaine 2% and 0.75% bupivacaine mixture 2ml, ball under the capsule filled with liquid medicine, you can start a variety of surgical procedures. Results: 456 eyes were operated safely and achieved the same effect as the ball and the week after anesthesia. Conclusion: The subacute anesthesia using a blunt silicone injection tube to avoid the optic nerve, arteriovenous, venous, ocular muscle and eye wall mechanical injury, injection method is simple, clinical application shows that it is a safe and effective local anesthesia Methods. Journal of Ophthalmology 1999; 15: 127-128.