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挫伤性前房积血的治疗

Therapy of Contusive Hyphema

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【作者】 邓显峰朱峰

【Author】 DENG Xian-feng, ZHU Feng ( Department of Ophthalmology, Huaguo Hospital of Dongfeng Automobile Company, Shiyan 442049, China)

【机构】 东风公司花果医院眼科东风公司花果医院眼科 湖北十堰442049湖北十堰442049

【摘要】 目的探讨挫伤性前房积血的治疗方法和临床疗效。方法回顾性分析我院68例(68眼)挫伤性前房积血的治疗和疗效。非手术治疗方法是双眼包扎、半卧位、制动,止血剂、活血化淤药、甘露醇及皮质类固醇应用,13例行前房冲洗。结果前房积血在1-15天吸收,13例手术治疗后眼压恢复正常,积血吸收。结论对挫伤性前房积血患者应尽早发现和治疗。患者眼压持续不降或积血无改善应及时行手术治疗。

【Abstract】 Objective To discuss the therapy and the clinical effect of contusive hyphema. Methods 68 patients (68 eyes) with contusive hyphema were treated and reviewed. The non-surgical treatments included bandaging both eyes, semi-reclining position, limiting movement, and administration of hemostatic, manical and corticosterioid. Additionally, 13 patients (13 eyes) were treated with arterial chamber rinsing besides above therapy. Results Hematocele was absorbed ranging in time from 1-15 days. 13 patients’ (13 eyes) intraocular pressure (IOP) restored after surgery, and hematocele was absorbed. Conclusion The patients with contusive hyphema should be discovered and treated as early as possible. The patients should be operated timely whose IOP didn’t descend constantly or hematocele wasn’t absorbed.

【关键词】 眼挫伤前房积血治疗
【Key words】 contusionhyphematherapy
  • 【文献出处】 医学信息 ,Medical Information , 编辑部邮箱 ,2007年12期
  • 【分类号】R779.1
  • 【被引频次】1
  • 【下载频次】14
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