Isernhagen R D, Michels R G, Glaser B M, de Bustros S, Enger C
Wilmer Ophthalmological Institute, Johns Hopkins University and Hospital, Baltimore, MD 21205.
Arch Ophthalmol. 1988 Jun;106(6):767-70. doi: 10.1001/archopht.1988.01060130837035.
Two hundred patients undergoing vitreoretinal surgery were prospectively studied to determine the postoperative hospitalization requirements and to analyze preoperative and intraoperative factors that influence the need for inpatient care. Fifty-two percent of the patients had postoperative events that were best treated in an inpatient setting. Forty-four patients (22%) had pain requiring intramuscular injections five or more hours following surgery, 35 patients (18%) had nausea requiring intramuscular medications five or more hours following surgery, 30 patients (15%) required physician consultation for medical illness five hours or more following surgery, and 41 patients (20%) required more than one postoperative day of hospitalization because of ocular abnormalities. We concluded that although vitreoretinal surgery can sometimes be performed on an ambulatory basis, most cases require hospitalization for optimum care.
对200例接受玻璃体视网膜手术的患者进行前瞻性研究，以确定术后住院需求，并分析影响住院护理需求的术前和术中因素。52%的患者术后出现的情况在住院环境中治疗效果最佳。44例患者（22%）术后疼痛，术后5小时或更长时间需要肌肉注射；35例患者（18%）术后恶心，术后5小时或更长时间需要肌肉注射药物；30例患者（15%）术后5小时或更长时间因内科疾病需要医生会诊；41例患者（20%）因眼部异常需要术后住院一天以上。我们得出结论，尽管玻璃体视网膜手术有时可以在门诊进行，但大多数病例需要住院以获得最佳护理。
