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yxfbbiedtj · Wysłany: Czw 15:38, 17 Mar 2011

Mountain contusion hyphema of 32 cases

Only re- bleeding. Thus changing the condition of traumatic hyphema . Such as secondary glaucoma. Required medication to reduce intraocular pressure. Generally do not have miotic agent and pupil dilation . Such as blood in more severe irritation , it can be used to dilate agent. 24 hours of first use in Houma Tuo goods drops, if not elevated intraocular pressure , can be used atropine, on the iris root amputation who used atropine , disable,[link widoczny dla zalogowanych], miotic therapy. Second, miosis and pupil dilation : eye pupil dilation help to break agent ,[link widoczny dla zalogowanych], to prevent congestion and to prevent adhesion. Pupillary margin of the laceration may again increase. Endanger the diversion system and Bute trabecular iris to reduce the absorption area: miotic can angle open ,[link widoczny dla zalogowanych], expand the iris recess,[link widoczny dla zalogowanych], is conducive to the absorption of hyphema may also increase the adhesion and irritation after the iris , we That the extension agent and miotic pupil application should be based on patient circumstances. Eye condition unknown . Best not to blindly expand the pupil and miosis . Third, the operation time : Surgical treatment of hyphema not easily implemented,[link widoczny dla zalogowanych], because the surgery often than non- surgical treatment of complications . According to our experience. Surgery aimed II, Ⅱ I -class in terms of anterior chamber hemorrhage . Indications for surgery should be as follows: ① large volume of blood , 3 days after the still absorber : ② corneal bloodshed : ③ high intraocular pressure drugs can not control : ④ 7 days a chamber filled with the blood volume is still not absorbed or no clotting of blood Pieces . Anterior chamber should be washed assassination operation. Saline rinse . Of hyphema who have blood clots . 5000 will be available at the puncture 10,000 international units of urokinase dissolved in 2ml saline, a forward housing into 0.3m1.3 minutes before flushing with saline . Repeat several times. Basic dissipated out of the blood clot . If still residual blood clots. The solution can be injected into the anterior chamber to 0.3ml of urokinase . Residual clot dissolution within 48 hours , if they continue to hemorrhage . Amount of air or oxygen will be sterilized to prevent further bleeding into the anterior chamber . Summary This article contusion hyphema clinical analysis of 32 cases were , well on pupil dilation agent. Miotic application , hand Zhaoqing Medical 3I 1999 a total timing of surgery are discussed. [2] WilLamc. C. Eefal: Amjophthalmo