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作者复习了文献,并报告了哥本哈根地区10年内在约20,000余例鼻部小手术(鼻窦手术除外)中,发现3例术后并发失明患者,约占<0.2％。 例1 男性,59岁。因鼻中隔弯曲在全麻下(局部注射利多卡因)行鼻中隔粘膜下截除术及右下鼻甲部份切除术。术中鼻中隔后部出血较多 估计失血约1,000cm,补血500cm。术后患者诉右眼视力模糊,尤以上半视野,眼科检查,视力:
The authors reviewed the literature and reported that in the roughly 10-year period in Copenhagen, there were about 20,000 small nasal surgery (except sinus surgery), in which 3 patients (<0.2%) had postoperative blindness. Example 1 Male, 59 years old. Due to nasal septum bending under general anesthesia (local injection of lidocaine) nasal septum submucosal resection and the right lower turbinate partial resection. Intraoperative bleeding in the rear of the nasal septum more estimated loss of blood about 1,000cm, blood 500cm. Patients complained of blurred vision after the right eye, especially in the upper half field of vision, eye examination, visual acuity: