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围手术期视力丧失:我们了解什么,我们能做什么?

Perioperative visual loss: what do we know, what can we do?

机构信息

Department of Anaesthesia and Critical Care, University of Chicago, 5841 South Maryland Avenue, Box MC 4028, Chicago, IL 60637, USA.

出版信息

Br J Anaesth. 2009 Dec;103 Suppl 1(Suppl 1):i31-40. doi: 10.1093/bja/aep295.

DOI:10.1093/bja/aep295
PMID:20007988
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2791856/
Abstract

Perioperative visual loss (POVL), a rare, but devastating complication, can follow non-ocular surgery. Highest rates of visual loss are with cardiac and spine surgery. The main causes of visual loss after non-ocular surgery are retinal vascular occlusion and ischaemic optic neuropathy. This review updates readers on the incidence, suspected risk factors, diagnosis, and treatment of POVL due to these conditions.

摘要

围手术期视力丧失(POVL)是一种罕见但严重的并发症,可继发于非眼部手术。心脏和脊柱手术后的视力丧失发生率最高。非眼部手术后视力丧失的主要原因是视网膜血管闭塞和缺血性视神经病变。本文就这些原因导致的 POVL 的发生率、疑似危险因素、诊断和治疗为读者提供最新信息。

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Perioperative visual loss: what do we know, what can we do?围手术期视力丧失:我们了解什么,我们能做什么?
Br J Anaesth. 2009 Dec;103 Suppl 1(Suppl 1):i31-40. doi: 10.1093/bja/aep295.
2
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本文引用的文献

1
The prevalence of perioperative visual loss in the United States: a 10-year study from 1996 to 2005 of spinal, orthopedic, cardiac, and general surgery.美国围手术期视力丧失的患病率:一项1996年至2005年对脊柱、骨科、心脏和普通外科手术的10年研究。
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The effects of steep trendelenburg positioning on intraocular pressure during robotic radical prostatectomy.机器人根治性前列腺切除术期间头低脚高位对眼压的影响。
Anesth Analg. 2009 Aug;109(2):473-8. doi: 10.1213/ane.0b013e3181a9098f.
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Perioperative ischemic optic neuropathy: a case control analysis of 126,666 surgical procedures at a single institution.围手术期缺血性视神经病变:对单一机构126666例外科手术的病例对照分析
Anesthesiology. 2009 Feb;110(2):246-53. doi: 10.1097/ALN.0b013e318194b238.
4
In-hospital complications and mortality after elective spinal fusion surgery in the united states: a study of the nationwide inpatient sample from 2001 to 2005.美国择期脊柱融合手术后的院内并发症及死亡率:对2001年至2005年全国住院患者样本的研究
J Neurosurg Anesthesiol. 2009 Jan;21(1):21-30. doi: 10.1097/ANA.0b013e31818b47e9.
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Visual loss after spine surgery: a population-based study.脊柱手术后的视力丧失:一项基于人群的研究。
Spine (Phila Pa 1976). 2008 Jun 1;33(13):1491-6. doi: 10.1097/BRS.0b013e318175d1bf.
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Effects of anemia and hypotension on porcine optic nerve blood flow and oxygen delivery.贫血和低血压对猪视神经血流及氧输送的影响。
Anesthesiology. 2008 May;108(5):864-72. doi: 10.1097/ALN.0b013e31816c8a30.
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Posterior ischemic optic neuropathy after minimally invasive prostatectomy.微创前列腺切除术后的后部缺血性视神经病变
J Neuroophthalmol. 2007 Dec;27(4):285-7. doi: 10.1097/WNO.0b013e31815b9f67.
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Erectile dysfunction drugs and risk of anterior ischaemic optic neuropathy: casual or causal association?勃起功能障碍药物与前部缺血性视神经病变风险:偶然关联还是因果关系?
Br J Ophthalmol. 2007 Nov;91(11):1551-5. doi: 10.1136/bjo.2007.125880.
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Perioperative blood transfusion and blood conservation in cardiac surgery: the Society of Thoracic Surgeons and The Society of Cardiovascular Anesthesiologists clinical practice guideline.心脏手术围手术期输血与血液保护:胸外科医师协会和心血管麻醉医师协会临床实践指南
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Visual loss in a prone-positioned spine surgery patient with the head on a foam headrest and goggles covering the eyes: an old complication with a new mechanism.一名在俯卧位脊柱手术中头部置于泡沫头枕且眼睛戴着护目镜的患者出现视力丧失:一种具有新机制的旧并发症。
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