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作者复习了自1955年至1980年,在加利福尼亚大学医学中心,治疗后出院诊断为青光眼的全部病例。从913份病例中,发现记录为脊髓或全身麻醉者有9例发生急性闭角型青光眼。作者认为,脊髓或全身麻醉是诱使易感患者发作本病的致病因素。并建议麻醉医师、眼科医师和外科医师警惕这一并发症,因为患者在术后昏迷或服镇静剂后,其急性青光眼的症状和体征可极轻微并易被忽视。9例患者中,双眼发生闭角型青光眼2例;7例单眼发病。从出现症状到确诊的时间为几小时至5天。患者年龄为40～78岁,平均年龄63岁。9例中,女性7例,男性2例。5例因接受
The authors reviewed all cases of glaucoma diagnosed as having been discharged from hospital since 1955 to 1980 at the University of California Medical Center. From 913 cases, acute angle-closure glaucoma was found in 9 of the patients documented as spinal or general anesthesia. The authors believe that spinal cord or general anesthesia is a causative factor in inducing the onset of the disease in susceptible patients. Anesthesiologists, ophthalmologists and surgeons are also advised to be wary of this complication, since the symptoms and signs of acute glaucoma in patients who are comatose or sedated postoperatively can be minimal and easily overlooked. Among the 9 patients, 2 eyes had angle-closure glaucoma; 7 eyes had monocular disease. The time from symptom onset to diagnosis is several hours to 5 days. Patients aged 40 to 78 years, mean age 63 years. In 9 cases, there were 7 females and 2 males. 5 cases because of acceptance