开放球损伤与留存的眼内外体:麻醉选择和内炎的比率
Landon J Rohowetz1, Jonathan S Yi1, Khaled Gowaily1
1Department of Ophthalmology, Bascom Palmer Eye Institute, Miami, FL, USA.
Journal of vitreoretinal diseases
|September 29, 2025
概括
区域麻醉与监控麻醉护理 (MAC) 是常见的开放球损伤. 在这些患者中,手术内静脉内膜 (IVT) 抗生素显著降低了术后内膜炎的风险.
科学领域:
- 眼科医生 眼科 眼科
- 手术麻醉手术麻醉
背景情况:
- 带有留存眼内外体的开放球损伤带来了复杂的外科手术挑战.
- 眼内膜炎是一种严重的并发症,可能导致视力丧失.
研究的目的:
- 为了评估用于开放球体伤害中使用的麻醉技术,保留眼内异物.
- 评估与麻醉和抗生素管理相关的内炎率.
主要方法:
- 对134只眼睛进行了回顾性分析,这些眼睛有开放球损伤和保留的眼内外体 (2015-2023年).
- 麻醉类型的比较 (区域性与MAC与一般) 和抗生素方案 (副结膜,手术内IVT).
主要成果:
- 区域麻醉与监控麻醉护理 (MAC) 在96%的初始手术中使用.
- 基于麻醉类型的最佳校正视敏度 (BCVA) 没有显著差异.
- 在手术期间服用静脉内膜 (IVT) 抗生素与术后内膜炎的发生率显著降低 (0.8%对25%;P<.001).
结论:
- 用MAC进行区域麻醉是这些损伤的首选麻醉方法.
- 在手术期间IVT抗生素的使用对于预防术后内炎至关重要.
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