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101.
目的 分析高度近视眼白内障手术效果。方法 高度近视合并白内障病例共191 例(279 只眼),行白内障术后3mo以上,随访视力、眼屈光度及并发症,计算测量误差及SRK-II公式误差。结果 术后矫正视力0 .5 者200 只眼,占71.7 % ;矫正视力< 0.1 者13 只眼,占4 .7 % - 眼轴越长,近视性眼底病变越重。术后发生视网膜脱离2 只眼(0 .7%) 。眼轴长度测量误差值平均为0.53mm ,SRK-II公式计算的平均绝对屈光误差值为1.12D。结论 高度近视眼白内障手术效果较一般人群差,且眼轴越长效果越差。 相似文献
102.
高度近视白内障小切口超声乳化摘除术 总被引:14,自引:0,他引:14
目的:探讨经透明角膜隧道对高度近视白内障患者行超声乳化摘除术的可行性及手术技巧。方法:对216例高度近视合并白内障患者,经角膜缘隧道切口行超声乳化吸出,并植入软性或硬性人工晶体。对超声乳化能量、时间、负压及术后视力、散光及并发症进行观察。结果:采用较低能量、中度真空压力及中低档流速行超声乳化吸出,术后视力≥0.8者143例,≥0.5者49例。术前近视力≥0.8者,术后远视力常较佳。术前及术后散光3.0mm切口组无统计学差异,5.5mm切口组有统计学差异。未见明显严重并发症。结论:透明角膜超声乳化联合软性或硬性人工晶体植入,是高度近视白内障较理想的手术方式。 相似文献
103.
董勤 《中国实用眼科杂志》1999,17(9):549-550
本文回顾分析26 例 (26 眼) 5~14 岁儿童角膜穿通伤合并外伤性白内障植入后房型人工晶体的临床结果。对麻醉、人工晶体植入、后囊纤维膜样混浊进行了分析讨论。提示 8 周岁以上儿童常能在眼局部麻醉下顺利地完成手术。认为对儿童角膜穿通伤合并外伤性白内障植入人工晶体, 应视眼部伤情及术中情况, 权衡利弊, 区别选择Ⅰ期或Ⅱ期植入。作者观察到, 这类联合手术的后囊纤维膜样改变, 在术后一至二周即在不同程度上有所表现。 相似文献
104.
M. Hüll M. Berger J. Bauer S. Strauss B. Volk 《European archives of psychiatry and clinical neuroscience》1996,246(3):124-128
In recent years many studies have indicated an involvement of inflammatory mechanisms in Alzheimer's disease (AD). Acute-phase proteins such as 1-antichymotrypsin and c-reactive protein, elements of the complement system, and activated microglial and astroglial cells are consistently found in brains of AD patients. Most importantly, also cytokines such as interleukin-6 (IL-6) have been detected in the cortices of AD patients, indicating a local activation of components of the unspecific inflammatory system. Up to now it has remained unclear whether inflammatory mechanisms represent a primary event or only an unspecific reaction to brain tissue damage. Therefore, we investigated whether IL-6 immunoreactivity could be found in plaques prior to the onset of neuritic changes, or whether the presence of this cytokine is restricted to later stages of plaque pathology. we confirmed our previous observation that IL-6 is detectable in a significant proportion of plaques in the brains of demented patients. In AD patients IL-6 was found in diffuse plaques in a significant higher ratio as would have been expected from a random distribution of IL-6 among all plaque types. This observation suggests that IL-6 may precede neuritic changes, and that immunological mechanism may be involved both in the transformation from diffuse to neuritic plaques in AD and in the development of dementia. 相似文献
105.
Study of the substructure of the Morgagni and Brunescens cataract with the TAO non-coating technique
Dr W. L. Jongebloed D. Kalicharan L. I. Los J. G. F. Worst 《Documenta ophthalmologica. Advances in ophthalmology》1992,82(1-2):151-160
Lens tissue from a Morgagni cataract was examined by SEM and TEM. For SEM, after prefixation with glutaraldehyde and postfixation with the tannic acid/arginine/OsO4 non-coating (TAO) technique, and for TEM, after prefixation with glutaraldehyde, postfixation with OsO4/K4Fe(CN)6 and poststaining with uranyl acetate/lead citrate. The TAO technique seems to be a particularly suitable postfixation method for the SEM investigation of cararact tissue because of the presence of the protein structures present. The cortical region showed areas of radially, instead of concentrically, arranged lens fibres, degenerated lens fibres with holes (vacuoles), broken ball and socket connections between the lens fibres, and oval or spherical structures varying in size from 0.5–20 m, the largest resembling a golfball, arising from the cytoplasm of degenerating lens fibres. The smallest, 0.2–0.5 m, appear to have been expelled from the furrowed lens epithelium. 相似文献
106.
T. Ohgami T. Kitamoto R. W. Shin Y. Kaneko K. Ogomori J. Tateishi 《Acta neuropathologica》1991,81(3):242-247
Summary To clarify the association of microglia with senile plaques, the brains from 13 patients with Alzheimer's disease (AD) and 23 nondemented aged controls were investigated immunohistochemically by a double-labeling method using anti--protein antiserum and anti-ferritin antibody, which is a recently reported microglia marker. In addition, a quantitative analysis was performed. The senile plaques which appeared initially in the nondemented aged controls consisted of a diffuse type without any amyloid cores and these were found in the group aged 50–59 years. The great majority of them were found to contain no ferritin-positive microglia. The number and proportion (percentage) of microglia-containing diffuse plaques increased with age. Classical and compact plaques began to appear in the brains of the group aged 70 years and over, and practically all of them contained microglia. These results suggest that microglia are not associated with initial plaque formation, but correlate with amyloid core formation. In AD, the most prominent feature was that the diffuse plaques, which contained either no or only a few ferritin-positive microglia, increased markedly.Supported in part by a Grant-in-Aid for Scientific Research from the Ministry of Education, Science and Culture of Japan 相似文献
107.
目的评价小切口白内障摘除术术中后囊膜破裂的原因及处理方法.方法回顾分析1 05 6例小切口白内障手术联合人工晶体植入术,其中术中51例后囊膜破裂,玻璃体溢出,行前段玻璃体切割术联合一期后房型人工晶体植入术.结果本组患者手术中后囊膜破裂发生率为4.8%,全部行一期后房型人工晶体植入术,其中5例囊袋内固定植入,42例睫状沟固定植入和4例DGR人工晶体双襻缝线固定法植入.术后矫正视力大于或等于0.3者46例(90.2%);矫正视力大于或等于0.05,低于0.3者4例(7.8%);矫正视力低于0.05者1例(2.0%).结论前段玻璃体切割术为小切口白内障摘除术中后囊膜破裂一期人工晶体植入提供了安全有效的保证. 相似文献
108.
钙离子拮抗剂治疗阿尔茨海默氏病的现状 总被引:4,自引:1,他引:4
目的:介绍钙离子(Ca2 )拮抗剂治疗阿尔茨海默氏病(AD)的机制和研究进展。方法:查阅近年来国内外相关献。结果:应用Ca2 拮抗剂(如尼莫地平等)治疗AD,可促进受伤神经的再生和感觉运动功能的恢复,并有较好的临床疗效。结论:Ca2 自体平衡失调学说为AD发病机制中的重要组成,应用Ca2 拮抗剂治疗AD具有良好的前景。 相似文献
109.
110.
目的探讨老年非小细胞肺癌患者联合化疗时卡铂按AUC=5mg/ml·min(AUC,areaundertheconcentrationtimecurve)的剂量是否适宜。方法33例老年晚期非小细胞肺癌患者采用Taxol+CBP、Gemzar+CBP、NVB+CBP方案化疗,卡铂用药剂量按AUC=5的水平给药。全部患者共完成73周期化疗。每周期化疗前后对患者的化疗毒副反应及生活质量变化进行评估。结果骨髓毒副反应常见且较重,中性粒细胞出现Ⅲ/Ⅳ级副反应为47.9%(35/73)、血小板出现Ⅲ/Ⅳ级副反应为28.8%(21/73)。其余毒副反应不重。生存质量评分(依据国内肿瘤患者生存质量评分标准)平均下降6.5分。结论老年非小细胞肺癌患者联合化疗时,卡铂按AUC=5的剂量水平用药毒副反应较重,且对生存质量有不利影响,可能与剂量偏大有关。 相似文献