一个创伤性黄斑下出血病例用tPA和肺部位移治疗
Lorenzo Motta1, Matteo Ripa1, Korina Theodoraki2
1Department of Ophthalmology, William Harvey Hospital, East Kent Hospitals University NHS Foundation Trust, Ashford, UK.
Case reports in ophthalmology
|November 3, 2023
概括
组织等离子体激活剂 (tPA) 和 perfluoropropane 气体的静脉内注射有效地治疗了创伤性亚黄斑出血. 这种迅速的干预导致了明显的视力敏度改善和有利的结果.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 玻璃鼻外科 玻璃鼻外科
背景情况:
- 创伤性黄斑下出血 (SMH) 可能是轨道创伤的结果.
- 显著的视力损失是SMH的一个常见后果.
- 目前对创伤性SMH的治疗选择有限.
研究的目的:
- 评估内组织等离子体激活剂 (tPA) 和 perfluoropropane气体 (C3F8) 的疗效和安全性,用于治疗创伤性SMH.
- 评估及时治疗对解剖和功能结果的影响.
主要方法:
- 一个案例报告的31岁的女性创伤性SMH袭击后.
- 眼科检查和CT扫描来诊断轨道骨折和SMH.
- 静脉内注射tPA和C3F8气体,以取代黄斑下出血.
主要成果:
- 在24小时内观察到下出血的成功下移位.
- 视力敏度从手部动作改善到6/5在3个月内.
- 在2年的随访期间,没有发现任何并发症,最终视力敏度为6/5.
结论:
- 内tPA和C3F8气体注射是一种安全有效的创伤性SMH治疗方法.
- 创伤性SMH的及时治疗导致有利的解剖和功能恢复.
- 这种方法为管理视力威胁的创伤性视网膜损伤提供了一个有希望的选择.
相关概念视频
01:28Angle Closure Glaucoma: Treatment
534
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
534
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10