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[儿童鼻泪管疾病。第一部分。解剖、生理及临床体征]

[Nasolacrimal duct disorders in children. Part I. Anatomy, physiology and clinical signs].

作者信息

Sielicka Danuta, Mrugacz Małgorzata, Bakunowicz-Łazarczyk Alina

机构信息

Z Kliniki Okulistyki Dzieciecej z Ośrodkiem Leczenia Zeza, Uniwersyteckiego Dzieciecego Szpitala Kliniczny w Białymstoku.

出版信息

Klin Oczna. 2010;112(10-12):342-5.

PMID:21473088
Abstract

Congenital nasolacrimal duct obstruction (CLDO) is considered as common and onerous disorder present at infancy. Over 5% of infants have CLDO affecting one or both eyes. The symptoms of CLDO appear shortly after birth or during the first weeks of life. The main symptoms are: excessive and persistent watering, ropy mucous discharge in the conjunctival sac. In conservative treatment a lacrimal sac massage is proposed, though it is not always successful. Topical antibiotics are reserved only if secondary conjunctivitis occurs. Fortunately, most cases resolve spontaneously. However, sometimes nasolacrimal duct probing performed under local or general anesthesia is necessary.

摘要

先天性鼻泪管阻塞(CLDO)被认为是婴儿期常见且棘手的疾病。超过5%的婴儿患有CLDO,累及一只或双眼。CLDO的症状在出生后不久或出生后的头几周内出现。主要症状为:眼泪过多且持续、结膜囊内有粘性分泌物。在保守治疗中,建议进行泪囊按摩,不过并非总是成功。仅在发生继发性结膜炎时才使用局部抗生素。幸运的是,大多数病例可自行缓解。然而,有时需要在局部或全身麻醉下进行鼻泪管探通术。

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