皮肤穿神经切除术后单侧术后视力损失:一个病例报告
Guolin Xu1, Yuqing Wang1, Qing Zhang2
1Department of Anesthesiology and Perioperative Medicine, Second Affiliated Hospital of Anhui Medical University, No 678 Furong Road, 230601, Hefei, China.
BMC anesthesiology
|July 2, 2025
概括
经皮层神经瘤切除术 (PCNL) 后的术后视力损失 (POVL) 是罕见的. 对眼动脉封闭的迅速多学科干预导致高风险患者的视力恢复.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 眼科医生 眼科 眼科
- 干预性放射学 干预性放射学
背景情况:
- 穿皮骨切除术 (PCNL) 是对结石的一种常见手术.
- 手术后视力丧失 (POVL) 是非眼部手术,特别是PCNL的罕见并发症.
- 患有高血压和糖尿病的患者的风险增加.
研究的目的:
- 在PCNL之后报告一个罕见的POVL病例.
- 突出迅速的多学科干预在眼动脉封闭管理的重要性.
主要方法:
- 一名患有高血压和糖尿病的60岁男性在躺着的位置进行PCNL.
- 患者在手术后出现单方面视力丧失,诊断为右眼动脉封闭.
- 治疗涉及紧急的动脉内血栓溶解.
主要成果:
- 动脉内血栓溶解成功地恢复了受影响的眼动脉的血液流动.
- 患者在受影响的眼睛中逐渐恢复视觉功能.
- 这一案例强调了POVL作为PCNL的严重并发症的潜力.
结论:
- 对POVL的警对于接受PCNL等倾斜位置手术的高风险患者至关重要.
- 在眼动脉封闭的情况下,及时识别和多学科管理对于成功的视觉恢复至关重要.
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