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对慢性泪囊炎多采取泪道插管或手术治疗,但首先必须控制泪囊炎症,方可进行。常规点眼药水和泪道冲洗效果欠佳。近年来我们采用泪道探通后,用大量的抗生素溶液行全泪道冲洗治疗慢性泪囊炎,效果显著,现介绍如下:方法:用9号腰穿针连同内芯,将尖端磨钝圆,消毒后由下泪点插入泪道,当抵达鼻泪管段时,可遇有阻力,此时忌用暴力,用柔力将狭窄或阻塞的鼻泪管探通。此时探针插入约45mm。再以50—80ml 生理盐水加40万单位青霉素配制成冲洗液,青霉素过敏者改加庆大霉素4万单位或红霉素0.3g,接上一次性输器,挂在输液架上。患者取端坐位,头及上身前倾,面前放一弯盘。拔出探针内芯,将输液器前端接在探针上,调节器放至最大,可见液体由鼻孔流出滴入弯盘。轻轻上提探针,可有脓性分泌物随冲洗液流出。部分患者可带有
Chronic dacryocystitis take lacrimal duct intubation or surgical treatment, but must first control dacryocystitis, before. Conventional eye drops and lacrimal duct wash ineffective. In recent years, we use the lacrimal duct exploration, the use of a large number of antibiotic solution to wash the whole lacrimal duct dacryocystitis, the effect is significant, are described below: Method: with No. 9 lumbar puncture along with the inner core, the tip grinding round , After disinfection by the tears inserted into the lacrimal duct, when the arrival of nasolacrimal duct, you may encounter resistance, avoid using violence at this time with the soft or narrow stenosis or nasolacrimal duct exploration. At this point probe inserted about 45mm. Then 50-80ml normal saline plus 400000 units of penicillin formulated as a rinse solution, penicillin allergy by gentamicin 40,000 units or erythromycin 0.3g, connected to a one-time transmitter, hanging in the infusion stand. Patients take the seat, head and upper body forward, put a bend in front of the plate. Pull out the probe core, the front end of the infusion set connected to the probe, the regulator to the maximum, we can see the liquid from the nostril dripping into the curved plate. Gently lift the probe, there may be purulent discharge effluent with the rinse. Some patients may have