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玻璃体手术这一70年代兴起的新型显微手术,为眼后段疾病的治疗开创了新纪元,治愈了难以数计的患者。不过由于技术难度较大,操作复杂,且要求更高的随机应变能力,如果掌握不好,可能造成许多并发症,甚至永久失明。现就玻璃体手术的并发症及其防治作一简要介绍。 (1)麻醉并发症:除小儿及不合作者采用全身麻醉外,一般玻璃体手术均用局部麻醉,其中以球后或球旁,结合面神经阻滞麻醉最常使用。因此球后或球旁麻醉的并发症诸如球后出血,一时或永久视力丧失,中央动、静脉阻塞,刺破眼球,注射侧或对侧的眼球运动神经麻痹以及药物进入延髓脑池引起的
Vitreous surgery, a new type of microsurgery that emerged in the 1970s, set a new era for the treatment of diseases in the posterior segment of the eye and healed patients who were difficult to count. However, due to technical difficulties, complex operation, and require a higher degree of adaptability, if not mastered, may cause many complications, or even permanent blindness. Now on the complications of vitreous surgery and prevention for a brief introduction. (1) Anesthesia complications: In addition to general anesthesia in children and non-partners, the general vitreous surgery are used local anesthesia, in which the ball or ball, combined with facial nerve block anesthesia is most commonly used. Therefore, post-ball or ball anesthesia complications such as bleeding after the ball, temporary or permanent loss of vision, central artery and vein occlusion, punctured the eye, injection side or contralateral oculomotor nerve paralysis and drugs into the medullary cistern caused