球头硅胶管留置治疗鼻泪管阻塞的临床观察

目的:观察球头硅胶管留置治疗鼻泪管阻塞的临床疗效.方法:对鼻泪管阻塞患者103例137眼逆行植入球头硅胶管,术后随访1个月～ 2年.硅胶管留置泪道内不拔管.结果:103例(137眼)中,治愈135例,无效2眼,总有效率98.5%.结论:球头硅胶管留置治疗鼻泪管阻塞疗效好,操作简单,具有很好的推广价值.     

61眼白内障超声乳化手术中后囊破裂的原因及处理

目的:分析白内障超声乳化手术中后囊破裂的原因,探讨其预防及处理方法。方法:对61眼超声乳化手术中发生的后囊破裂的情况、疗效和并发症进行总结分析。结果:后囊破裂仅位于中央者37例,鼻下方13例,颞下方11例。术后3个月视力≥0.9者17例,0.4~0.8者30例,0.1~0.3者14例。结论:严格选择病人、充分的术前准备、娴熟的手术技巧、精良的超声乳化系统及显微镜设备是预防及处理后囊破裂的关键,处理恰当可减少损害。     

利巴韦林致不良反应4例

笔者在医院从事临床药学的工作实践中,收集到有关利巴韦林制剂的几例不良反应.其中3例为药物过敏症状,1例为严重的剥脱性角膜炎,现报道如下.[病例1]女.8mo.因腹泻3d入我院住院治疗.本人无药物过敏史,家属(双亲)也无药物过敏史.给予注射用头孢拉定0.75g加5%葡萄糖输液50ml iv gtt qd;利巴韦林注射液0.15g加10%葡萄糖输液100ml iV gtt qd.病人在输注完头孢拉定葡萄糖输液后.无任何不良症状发生,当继续输注第2瓶液体约50ml时,患者突然出现双颊潮红,烦躁不     

后房造漏联合板层巩膜切除术在难治性青光眼治疗中的应用

目的 探讨采用后房造漏联合板层巩膜切除术治疗难治性青光眼的临床疗效.方法 采用巩膜瓣下后房造漏联合板层巩膜切除术治疗难治性青光眼37例37眼,术后对眼压、视力、前房、滤过泡形态进行随诊观察,并总结分析疗效.结果 37例37眼术后经3～14个月观察随访,术前平均眼压（47.23±11.5）mmHg（1 kPa=7.5 mmHg）,术后随访末平均（15.6±7.3）mmHg,手术前后有显著性差异（P＜0.05）;术后视力提高19眼,不变15眼;功能性滤过泡占83.78%.结论 该术式在眼压控制、滤过泡形成等方面临床效果好,是治疗难治性青光眼安全有效的方法.     

干燥羊膜移植联合复合式小梁切除术治疗难治性青光眼临床观察

Objective To explore the effect and security of dry amniotic membrane transplantation com-bined with trabeculectomy on refractory glaucoma. Methods Dry amniotic membrane transplantation combined with trabeculectomy was performed on 32 cases (39 eyes) with refractory glaucoma. All the patients were followed-up for 6-24 months. The acuity of visual, filtering bleb, anterior chamber depth, IOP and the complications of operation were studied. Results The IOP was descended 59.9 % (P<0.001) from (41.3±5.1)mmHg pre-operation to(17.2±5.3) mmHg post-operation. The total success rate was 93.4 %. After operation, 34 eyes (87.2 %) were kept functional filtering bleb. 27 eyes (69.2 %) had improved visual acuity. The complications included shallow anterior chamber (5 eyes) and early postoperative hypotony (9 eyes). Conclusions Amniotie membrane transplantation combined with trabeculectomy for refractory glaucoma can effectively inhibit the sear formation, decrease the IOP and increase the success rate considerably. The method is safe and effective in the treatment of refractory glaucoma.     

干燥羊膜移植联合复合式小梁切除术治疗难治性青光眼临床观察

Objective To explore the effect and security of dry amniotic membrane transplantation com-bined with trabeculectomy on refractory glaucoma. Methods Dry amniotic membrane transplantation combined with trabeculectomy was performed on 32 cases (39 eyes) with refractory glaucoma. All the patients were followed-up for 6-24 months. The acuity of visual, filtering bleb, anterior chamber depth, IOP and the complications of operation were studied. Results The IOP was descended 59.9 % (P<0.001) from (41.3±5.1)mmHg pre-operation to(17.2±5.3) mmHg post-operation. The total success rate was 93.4 %. After operation, 34 eyes (87.2 %) were kept functional filtering bleb. 27 eyes (69.2 %) had improved visual acuity. The complications included shallow anterior chamber (5 eyes) and early postoperative hypotony (9 eyes). Conclusions Amniotie membrane transplantation combined with trabeculectomy for refractory glaucoma can effectively inhibit the sear formation, decrease the IOP and increase the success rate considerably. The method is safe and effective in the treatment of refractory glaucoma.     

干燥羊膜移植联合复合式小梁切除术治疗难治性青光眼临床观察

Objective To explore the effect and security of dry amniotic membrane transplantation com-bined with trabeculectomy on refractory glaucoma. Methods Dry amniotic membrane transplantation combined with trabeculectomy was performed on 32 cases (39 eyes) with refractory glaucoma. All the patients were followed-up for 6-24 months. The acuity of visual, filtering bleb, anterior chamber depth, IOP and the complications of operation were studied. Results The IOP was descended 59.9 % (P<0.001) from (41.3±5.1)mmHg pre-operation to(17.2±5.3) mmHg post-operation. The total success rate was 93.4 %. After operation, 34 eyes (87.2 %) were kept functional filtering bleb. 27 eyes (69.2 %) had improved visual acuity. The complications included shallow anterior chamber (5 eyes) and early postoperative hypotony (9 eyes). Conclusions Amniotie membrane transplantation combined with trabeculectomy for refractory glaucoma can effectively inhibit the sear formation, decrease the IOP and increase the success rate considerably. The method is safe and effective in the treatment of refractory glaucoma.     

清创缝合玻璃体切割加硅油填充治疗复杂性眼内异物

目的探讨硅油在一期清创缝介联合玻璃体切割治疗复杂性眼内异物中的临床效果。方法笔者对其所在医院收渝的复杂眼内异物患者38例（38眼）进行同顾性分析。这些患者均采用一期清创缝合联合玻璃体切割行异物取出硅油填充，随访3～37个月（平均19．3个月），观察术后效果。结果异物均一次成功取出。最佳矫正视力≤0．02者10眼，〉0，02者8眼，〉10．05者7眼，〉10．1者13眼。结论使用硅油填充在一期清创缝合联合玻璃体切割治疗复杂性眼内异物是安全和有效的。     

紫外分光光度法对替硝唑胶囊含量的测定

<正> 临床上,替硝唑含量测定通常采用高效液相色谱法。本文采用以水作溶剂,用紫外分光法对替硝唑胶囊进行含量测定,方法简单可靠,现报告如下。 临床资料 1 材料的选择 所用仪器的UV-2201紫外分光光度计(日本岛津),Class-10vP高效液相色谱仪(日本岛津),替硝唑对照品由深圳药检所提供,替硝唑胶囊(山东罗欣制药厂,批号:971120、980101、980302;深圳龙岗医院制剂中心,批号:980726、980727)