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前房冲洗治疗碱烧伤。

Irrigation of the anterior chamber for the treatment of alkali burns.

作者信息

Burns R P, Hikes C E

出版信息

Am J Ophthalmol. 1979 Jul;88(1):119-20. doi: 10.1016/0002-9394(79)90765-7.

DOI:10.1016/0002-9394(79)90765-7
PMID:37737
Abstract

A 31-year-old man had sodium hydroxide blown into his amblyopic left eye after an explosion caused by placing solid sodium hydroxide cleanser into a plugged drain. The eye was treated with topical and intraocular irrigation, and lactated Ringer's solution and the patient was given topical antibiotics, systemic and topical corticosteroids, and carbonic anhydrase inhibitors. Acetylcysteine drops were administered, and a contact lens was placed. The patient subsequently developed severe pain, hypopyon, and hyphema. The cornea was ulcerated and perforated 27 days after injury, and the eye was enucleated 70 days after injury.

摘要

一名31岁男子在将固体氢氧化钠清洁剂倒入堵塞的下水道引发爆炸后,氢氧化钠被吹入其弱视的左眼。对该眼进行了局部和眼内冲洗,给予乳酸林格液,并给予患者局部抗生素、全身和局部皮质类固醇以及碳酸酐酶抑制剂。使用了乙酰半胱氨酸滴眼液,并佩戴了隐形眼镜。患者随后出现严重疼痛、前房积脓和前房出血。受伤27天后角膜发生溃疡并穿孔,受伤70天后该眼被摘除。

相似文献

1
Irrigation of the anterior chamber for the treatment of alkali burns.前房冲洗治疗碱烧伤。
Am J Ophthalmol. 1979 Jul;88(1):119-20. doi: 10.1016/0002-9394(79)90765-7.
2
Course and outcome of accidental sodium hydroxide ocular injury.意外氢氧化钠眼部损伤的病程和转归。
Am J Ophthalmol. 2012 Oct;154(4):740-749.e2. doi: 10.1016/j.ajo.2012.04.018. Epub 2012 Jul 27.
3
Aqueous humor pH changes after experimental alkali burns.实验性碱烧伤后房水pH值的变化
Am J Ophthalmol. 1975 Mar;79(3):414-9. doi: 10.1016/0002-9394(75)90614-5.
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Combined use of an amniotic membrane and tissue adhesive in treating corneal perforation: a case report.羊膜与组织粘合剂联合应用治疗角膜穿孔:一例报告
Ophthalmic Surg Lasers. 2000 Mar-Apr;31(2):151-4.
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Chemical injuries to the eyes. Emergency, intermediate, and long-term care.眼部化学伤。急救、中期及长期护理。
Postgrad Med. 1987 Mar;81(4):62-6, 69-71, 75. doi: 10.1080/00325481.1987.11699741.
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The consequences of delayed intervention when treating chemical eye burns.治疗化学性眼烧伤时延迟干预的后果。
Graefes Arch Clin Exp Ophthalmol. 2007 Oct;245(10):1507-13. doi: 10.1007/s00417-007-0597-2. Epub 2007 May 10.
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[Significance of immediate affixation of a hard contact lens in the emergency treatment of severe alkali burns of the cornea (case report)].[硬性接触镜即时配戴在角膜重度碱烧伤急诊治疗中的意义(病例报告)]
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Irrigation with phosphate-buffered saline causes corneal calcification during treatment of ocular burns.在眼部烧伤的治疗中,用磷酸盐缓冲盐水冲洗会导致角膜钙化。
Burns. 2019 Dec;45(8):1871-1879. doi: 10.1016/j.burns.2019.04.022. Epub 2019 Oct 16.
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Alkali-related ocular burns: a case series and review.碱相关眼部烧伤:病例系列报道及文献综述
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Chemical burns of the eye with special reference to alkali burns.
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