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相关概念视频

Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
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Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

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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...
453
Open Angle Glaucoma: Treatment01:27

Open Angle Glaucoma: Treatment

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In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
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Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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相关实验视频

Updated: Jun 13, 2025

Transcanalicular Diode Laser-assisted Dacryocystorhinostomy for the Treatment of Primary Acquired Nasolacrimal Duct Obstruction
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乳囊炎:乳囊鼻术总是解决方案吗?

Alexis Mathieu1, Stéphanie Baillif2,3, Marie-Noelle Delyfer1,4

  • 1Service d'Ophtalmologie, Centre Hospitalier Universitaire de Bordeaux, F-33000 Bordeaux, France.

Journal of clinical medicine
|September 14, 2024
PubMed
概括

乳囊切除术 (DCT) 和乳囊鼻断口术 (DCR) 在乳囊炎撕裂投诉方面显示了类似的结果. 连续性眼疗法是一种可行的替代方案,特别适用于患有眼睛干燥疾病的老年患者.

关键词:
乳细胞切除术 (dacryocystectomy) 是一种切除术.乳囊炎是一种乳囊炎.达克里奥西斯托里诺斯托米眼睛干燥是指眼睛干燥.长眼 (Epiphora) 是一个令人惊叹的症状.

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科学领域:

  • 眼科医生 眼科 眼科
  • 手术手术手术手术手术手术手术手术手术手术

背景情况:

  • 乳囊炎是眼囊的感染,通常需要手术干预.
  • 乳囊切除术 (DCT) 和乳囊鼻切除术 (DCR) 是治疗乳囊炎的外科选择.
  • 将DCT和DCR在解决撕裂投诉方面的有效性进行比较对于患者管理至关重要.

研究的目的:

  • 为了比较乳囊切除术 (DCT) 与乳囊鼻切除术 (DCR) 在缓解乳囊炎患者的撕裂投诉方面的有效性.
  • 评估Munk分数的改善作为手术后的主要结果指标.

主要方法:

  • 一项回顾性,比较性研究,涉及19名被诊断患有乳囊炎的患者.
  • 患者被分为两个组:DCR (10名患者) 和DCT (9名患者).
  • 主要终点是手术后蒙克得分提高1分.

主要成果:

  • 在改善撕裂投诉方面,DCR和DCT都取得了相似的成功率 (DCR为70%,DCT为67%).
  • DCR手术主要在全身麻醉下进行,而DCT则使用局部麻醉.
  • 与DCT组相比,DCR组需要住院的比率明显高.

结论:

  • 乳囊鼻术 (DCR) 可能不是所有乳囊炎病例的唯一最佳解决方案.
  • 乳囊切除术 (DCT) 是一种可行的手术替代方案,特别适用于患有撕裂问题和同时存在的干眼疾病的老年患者.