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鼻窦手术后的药物性瞳孔扩大。

Pharmacological pupil dilatation after sinus surgery.

机构信息

ENT, Leicester Royal Infirmary, Leicester, UK

Ophthalmology, Leicester Royal Infirmary, Leicester, UK.

出版信息

BMJ Case Rep. 2021 Jan 18;14(1):e236666. doi: 10.1136/bcr-2020-236666.

Abstract

Orbital complications after endoscopic sinus surgery are serious problems. Inadvertent contamination of the eye by pharmacological solution can lead to early postoperative anxiety to patients and high concern to surgeons. This is a rare case report of retrograde epinephrine flow through lacrimal duct in sinus surgery with learning tips during postoperative assessment for reassurance in temporary pharmacological effect rather than serious complication.

摘要

鼻窦内窥镜手术后的眼眶并发症是严重的问题。药物溶液无意中污染眼睛可导致患者术后早期焦虑和外科医生高度关注。这是鼻窦手术中通过泪小管逆行肾上腺素流的罕见病例报告,术后评估时可学习提示以确保暂时的药理作用而不是严重并发症。

相似文献

1
Pharmacological pupil dilatation after sinus surgery.鼻窦手术后的药物性瞳孔扩大。
BMJ Case Rep. 2021 Jan 18;14(1):e236666. doi: 10.1136/bcr-2020-236666.
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Dilated pupil during endoscopic sinus surgery: what does it mean?
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本文引用的文献

6
Dilated pupil during endoscopic sinus surgery: what does it mean?
Am J Rhinol. 2001 Jan-Feb;15(1):31-3. doi: 10.2500/105065801781329392.
7
Unilateral mydriasis after nasal reconstruction surgery.鼻再造手术后单侧瞳孔散大。
Can J Anaesth. 2000 Nov;47(11):1119-21. doi: 10.1007/BF03027966.
8
Interpretation of the dilated pupil during endoscopic sinus surgery.
J Laryngol Otol. 1998 Jul;112(7):622-7. doi: 10.1017/s0022215100141283.
10
Prolonged unilateral mydriasis after nasotracheal intubation.
Middle East J Anaesthesiol. 1988 Jun;9(5):471.

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