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題 名 | 筋膜下直接注入之球後麻醉法於白內障手術中之應用 |
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作 者 | 黃逸君; 蔡瑞庭; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 31:2 1992.06[民81.06] |
頁 次 | 頁45-50 |
分類號 | 416.744 |
關鍵詞 | 筋膜下直接注入法; 球後麻醉法; 白內障手術; Subtenon's infusion; Cataract surgery; Retrobulbar anesthesia; |
語 文 | 中文(Chinese) |
中文摘要 | 於30例白內障手術中,應用筋膜下直接注入之球後麻醉法,並與同數接 受傳統球後麻醉法之病例做比較。發現除2例須以同法再行追加麻醉之外,餘皆 可於5分鐘內達到完全麻醉之效果。併發症方面則有20例注射後發生輕至中度結 膜水腫;30例發生結膜下瘀血;眼壓上升超過5mmHg者則無。除了2例眼裂狹窄病人 因結膜水腫須做外眥分割(Lateral Canthotomy)以外,手術皆能順利進行。由於筋 膜下直接注入法使用鈍頭的19號套管為注射器,已排除針刺傷及眼球,神經及血 管之可能性。安全性高且易操作,麻醉效果與傳統法近似,又利於追加麻醉,應 可考慮作為傳統球後麻醉法之替代。 |
英文摘要 | Direct subtenon's infusion was applied to retro-bulbar anesthesia in 30 cases of cataract surgery. The results was compared with classic method. Wefound complete block was achieved within 5 minutesin all but two. Complication included mild to moder-ate chemosis in 20 cases and subconjunctival hemor-rhage in all. Post-infusion IOP was never elevated more than 5 mmHg. Operative course was uneventful except lateral canthotomy was done in 2 cases of small fissure. The use of blunt cannula which excluded the risk of injury to eyeglobe, nerve and vessel, has made it a simple and safe alternative method for retrobulbar block. |
本系統中英文摘要資訊取自各篇刊載內容。