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心脏直视手术中的视网膜血管阻塞

Retinal vascular occlusions in open heart surgery.

作者信息

Williams I M

出版信息

Br J Ophthalmol. 1975 Feb;59(2):81-91. doi: 10.1136/bjo.59.2.81.

DOI:10.1136/bjo.59.2.81
PMID:1131348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1017354/
Abstract

This study describes microthrombotic emboli (with their ultrastructure) and emboli of fat and of dimethylpolysiloxane with silica in the retinal microcirculation of two patients who died-each after his second open heart operation. The presence of silica was confirmed by electron probe x-ray micro-analysis.

摘要

本研究描述了两名患者（均在第二次心脏直视手术后死亡）视网膜微循环中的微血栓性栓子（及其超微结构）、脂肪栓子和含二氧化硅的二甲基聚硅氧烷栓子。通过电子探针X射线微分析证实了二氧化硅的存在。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/9236ff4b8b1b/brjopthal00254-0022-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/03d1c5e42744/brjopthal00254-0015-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/241b151b05d6/brjopthal00254-0016-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/ce708ed578bd/brjopthal00254-0017-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/37c1e28d5dbe/brjopthal00254-0017-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/8951e4ce0da2/brjopthal00254-0018-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/a83657ed01f0/brjopthal00254-0019-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/5f7969eb7fed/brjopthal00254-0019-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/5923e782a9b2/brjopthal00254-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/627c1f6d4320/brjopthal00254-0020-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/7f36e73057df/brjopthal00254-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/bbf1a466663b/brjopthal00254-0021-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/5bbb0a7368ad/brjopthal00254-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/9236ff4b8b1b/brjopthal00254-0022-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/03d1c5e42744/brjopthal00254-0015-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/241b151b05d6/brjopthal00254-0016-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/ce708ed578bd/brjopthal00254-0017-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/37c1e28d5dbe/brjopthal00254-0017-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/8951e4ce0da2/brjopthal00254-0018-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/a83657ed01f0/brjopthal00254-0019-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/5f7969eb7fed/brjopthal00254-0019-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/5923e782a9b2/brjopthal00254-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/627c1f6d4320/brjopthal00254-0020-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/7f36e73057df/brjopthal00254-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/bbf1a466663b/brjopthal00254-0021-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/5bbb0a7368ad/brjopthal00254-0022-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50c6/1017354/9236ff4b8b1b/brjopthal00254-0022-b.jpg

相似文献

1
Retinal vascular occlusions in open heart surgery.心脏直视手术中的视网膜血管阻塞
Br J Ophthalmol. 1975 Feb;59(2):81-91. doi: 10.1136/bjo.59.2.81.
2
Letter: Identification of silicon in retinal vessels by electron probe x-ray microanalysis.信函：通过电子探针X射线微量分析鉴定视网膜血管中的硅。
J Histochem Cytochem. 1975 Feb;23(2):149-51. doi: 10.1177/23.2.1090647.
3
Hemoglobin SC retinopathy and fat emboli to the eye. a light and electron microscopical study.血红蛋白SC视网膜病变与眼部脂肪栓塞。一项光镜和电镜研究。
Arch Ophthalmol. 1974 Jul;92(1):28-32. doi: 10.1001/archopht.1974.01010010032008.
4
Retinal fat emboli.
J Emerg Med. 2005 Oct;29(3):339-40. doi: 10.1016/j.jemermed.2005.01.030.
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Retinal emboli after open heart surgery.心脏直视手术后的视网膜栓子
Arch Ophthalmol. 1989 Mar;107(3):317. doi: 10.1001/archopht.1989.01070010327006.
6
General information on dimethylpolysiloxane.二甲基聚硅氧烷的一般信息。
Minerva Chir. 1983 Jun 30;38(12):863-5.
7
Effect of dipyridamole on retinal embolism associated with cardiopulmonary bypass surgery in the dog.
Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1974 Jan 28;189(4):251-63. doi: 10.1007/BF02384853.
8
Cerebral and retinal fat emboli in normal animals fixed by perfusion.通过灌注固定的正常动物的脑和视网膜脂肪栓子。
Acta Anat (Basel). 1977;99(1):21-35. doi: 10.1159/000144831.
9
FAT EMBOLI IN THE RETINA FOLLOWING ANGIOGRAPHY.血管造影术后视网膜脂肪栓塞
Arch Ophthalmol. 1964 Mar;71:308-13. doi: 10.1001/archopht.1964.00970010324005.
10
[Post-traumatic systemic fat embolism syndrome. Retrospective autopsy study].[创伤后系统性脂肪栓塞综合征。回顾性尸检研究]
Srp Arh Celok Lek. 2000 Jan-Feb;128(1-2):24-8.

本文引用的文献

1
The occurrence and characterization of emboli associated with the use of a silicone antifoaming agent.
J Thorac Cardiovasc Surg. 1961 May;41:611-22.
2
Studies of retinal vascular patterns. I. Normal architecture.视网膜血管模式研究。I. 正常结构
Arch Ophthalmol. 1960 Dec;64:904-11. doi: 10.1001/archopht.1960.01840010906012.
3
Neuropathologic complications of cardiac surgery.心脏手术的神经病理学并发症
J Thorac Cardiovasc Surg. 1971 May;61(5):676-85.
4
Ischaemic cerebrovascular diseases in an autopsy series. 2. Prevalence, location, pathogenesis, and clinical course of cerebral infarcts.尸检系列中的缺血性脑血管疾病。2. 脑梗死的患病率、部位、发病机制及临床病程。
J Neurol Sci. 1969 Sep-Oct;9(2):285-320. doi: 10.1016/0022-510x(69)90078-1.
5
Intravascular changes in the retina during open-heart surgery.心脏直视手术期间视网膜的血管内变化。
Lancet. 1971 Sep 25;2(7726):688-91. doi: 10.1016/s0140-6736(71)92252-5.