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題 名 | 以TPA治療外傷性前房出血--病例報告=Treatment of Traumatic Hyphema by Intracameral Injection of Tissue Plasminogen Activator--One Case Report |
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作 者 | 劉秀雯; 邱正仁; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷 期 | 38:4 1999.12[民88.12] |
頁 次 | 頁684-688 |
分類號 | 416.74 |
關鍵詞 | 外傷性前房出血; 眼科急症; Tissue plasminogen activator; Traumatic hyphema; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:本文報告利用TPA治療外傷性前房出血且併發術後再出血的病患之病例 方法:病例報告 結果:病患四十歲男性,因車禍造成右眼外傷性前房出血,在他院接受了兩次前房沖吸 治療:第一次手術後血塊未能清除,而第二次手術中發生再出血及術後眼壓升高現象。來本 院求診時,右眼視力僅有辨別手動程度,前房有大量血塊及纖維膜增生,眼壓62mmHg。住 院後接受兩次前房TPA(5μg)注射及沖吸治療,血塊很快有溶解的情形,而前房纖維膜逐漸 消失,眼壓也回復到正常。出院後在門診追蹤中,右眼眼壓一直維持正常,角膜僅有一些血 色素染色,右眼最佳矯正視力可達壹點零。 結論:外傷性前房出血是眼科急症之一,尤其是合併前房內纖維增生及眼壓升高時,更 是難以處理。本院眼科利用TPA來治療一位複雜外傷性前房出血且發生術後再出血的病患, 獲得良好成果,特提出報告並探討TPA在眼科上的應用。 |
英文摘要 | Tissue plasminogen activator (TPA) is a serine protease that converts plasminogen to plasmin. Plasmin will bind to fibrin and result in fibrinolysis. We presented a forty-year-old male who had traumatic hyphema with dense blood clot, anterior chamber fibrin formation and glaucoma in the right eye. After twice unsuccessful anterior chamber irrigation/aspiration, intraoperative rebleeding developed after the second operation and post-operative intraocular pressure (IOP) elevation was noted. He was transferred to our hospital and intracameral I injections of TPA (5(g) with irrigation/aspiration I procedures were performed twice. Clotted blood resolved and IOP returned to normal. 3 years later, the best-corrected visual acuity was 1.0. The anterior chamber was quiet and IOP remained normal. This case demonstrated that intracameral injection of TPA might be a simple and effective method for intractable hyphema combined with fibrous membrane. |
本系統中英文摘要資訊取自各篇刊載內容。