论文部分内容阅读
读了眼外伤职业眼病杂志1994年第16卷第4期刊载的《45例挫伤性前房出血临床分析》和《甘露醇与地塞米松治疗挫伤性前房积积血的疗效比较》两文后,笔者有点体会提出商榷;两文均谈到甘露醇对挫伤性前房积血的治疗效果,但观点各异.前文所治45例中,“单纯用甘露醇治疗10例,发现继发性前房出血机会增多,出血量亦较多,特别是Ⅲ级前房出血显著,而致病程延长”.结合临床资料认为“……挫伤性前房性积血在没有继发性青光眼的情况下,不要滥用甘露醇等高渗剂,更不能列为常规.”而后文通过用甘露醇组与用地塞米松组对照结果,“用甘露醇组28例无1例出现眼压升高,继发性青光眼,并能及早恢复视功能,减少并发症,而且对难以吸收的积血块,延长甘露醇作用时间均能吸收,避免了手术治疗的危险性”.
Read the Journal of Ocular Trauma Occupational Eye Disease, 1994 Volume 16, No. 4, “45 cases of contusion hyphema clinical analysis” and “Mannitol and dexamethasone in the treatment of contusion hyphema of the comparison of efficacy of the two articles” After a bit of experience to put forward a point of discussion; both men were talking about mannitol on the treatment of contusion hyphema, but with different views .In the first 45 cases of treatment, “simply treated with mannitol in 10 cases and found that secondary Anterior chamber bleeding opportunities increase, more bleeding, especially in grade Ⅲ anterior chamber bleeding significantly, which leads to prolonged course. ”Combined with clinical data that“ ... contusion of the posterior chamber hemorrhage in the absence of secondary glaucoma Case, do not abuse hypertonic agents such as mannitol, but can not be classified as conventional. ”And then by using mannitol group with dexamethasone control group results,“ no mannan group 28 cases of intraocular pressure increased in one case, Secondary glaucoma, and early recovery of visual function, reduce complications, but also difficult to absorb the clot, extend the duration of mannitol can absorb, to avoid the risk of surgical treatment. ”