Hromádková L, Rehůrek J, Anton M, Vinklárková Z
Dĕtská ocní klinika Fakultní dĕtské nemocnice, Brno.
Cesk Oftalmol. 1990 Nov;46(6):422-7.
In 100 children operated on account of strabismus the authors tried to assess whether changes in the position of the eyeballs during general anaesthesia with the stretch test can contribute towards the decision on the magnitude of the surgical operation. At the same time they compared changes in the position of the eyeballs during intubation anaesthesia by means of nitrous oxide and halothane with anaesthesia with ketamine, administered by the i.m. or i.v. route. They found that in 92% of the examined subjects the position of the eyeballs changed during general anaesthesia, most frequently the convergent deviation diminished. During ketamine anaesthesia the changes were more marked. The stretch test was in 73% of the patients normal, in 93% it was equal in both eyes. Based on the results, the authors conclude that neither the evaluation of changes of the eyeballs during general anaesthesia nor the stretch test can make the dosage of the surgical operation in concomitant strabismus more accurate.
在100例因斜视接受手术的儿童中,作者试图评估在全身麻醉下通过牵拉试验观察眼球位置的变化是否有助于确定手术操作的幅度。同时,他们比较了氧化亚氮和氟烷插管麻醉期间眼球位置的变化与氯胺酮经肌肉注射或静脉注射给药麻醉期间眼球位置的变化。他们发现,在92%的受检者中,全身麻醉期间眼球位置发生了变化,最常见的是集合性斜视减小。氯胺酮麻醉期间变化更为明显。73%的患者牵拉试验正常,93%的患者双眼相等。基于这些结果,作者得出结论,全身麻醉期间眼球变化的评估和牵拉试验均不能使伴发性斜视手术操作的剂量更准确。