首页|全麻下患者眼表意外损伤的临床观察

全麻下患者眼表意外损伤的临床观察

扫码查看
目的:了解全麻状态下患者眼表意外损伤的现状及致伤因素,探讨有效防护措施。方法回顾性系列病例研究。对2011年6月-2012年6月我院2323例患者全身麻醉后出现意外眼部症状的患者行常规眼部检查,结合病史询问、访谈手术医师及麻醉科医护人员,查阅病历记载,分析意外损伤的机制及临床表现。结果全身麻醉后出现意外眼部症状经眼科会诊、检查的患者62例74眼,占全麻人数的2.67%,损伤主要来源于眼表长时间暴露、化学腐蚀、机械擦伤、异物残留及继发感染等。结论全麻下眼表意外损伤是容易被忽略的麻醉并发症,除麻醉本身固有原因外,术中清洗、消毒溶液误入结膜囊、手术室环境、医护人员眼保护意识淡薄或措施不当,是引起眼表意外损伤的主要原因。简单的防护措施可有效降低其发生率。
Clinical observation of general anesthesia in patients with ocular injuries
Objective To understand the status of general anesthesia in patients with ocular injuries and trauma factors, explore effective protective measures. Methods a retrospective case series study. The accidental eye symptoms appeared in 2011 June ~2012 year in June my courtyard 2323 patients after general anesthesia underwent routine eye exams, interviews with history, operation physicians and medical staff in the Department of anesthesia, access to medical records, analysis of the mechanism of injury and clinical manifestations. Results the unexpected eye symptoms after consultation, examination of the Department of ophthalmology in 62 eyes of 74 patients after general anesthesia, general anesthesia for 2.67%of the number of long time exposure, damage the main source, chemical corrosion, mechanical abrasion, foreign body and secondary infection in ocular surface etc.. Conclusions ocular surface injury under general anesthesia anesthesia complications easily overlooked, in addition to the inherent reason of anesthesia, intraoperative cleaning, disinfection solution into the conjunctival sac, operation room environment, medical personnel eye protection consciousness or improper, the main reason is caused by ocular injuries. Simple protective measures can effectively reduce the incidence of.

General anesthesiacomplication ocular traumaprevention

任佑凡

展开 >

重庆市黔江中心医院眼科 409000

全身麻醉 并发症眼外伤 预防

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(2)
  • 4