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早产儿视网膜病变的冷冻疗法

Cryotherapy for retinopathy of prematurity.

作者信息

Mousel D K, Hoyt C S

出版信息

Ophthalmology. 1980 Nov;87(11):1121-7. doi: 10.1016/s0161-6420(80)35121-x.

Abstract

With the rapid progress in neonatology saving more lives of very immature infants, the occurrence of retinopathy of prematurity or retrolental fibroplasia has increased although most cases spontaneously resolve, severe visual damage and blindness still occur. The progressive case of retinopathy is a dilemma for ophthalmologists consulting in the intensive care nursery. The Japanese have been pursuing modalities of treatment of the acute case, but there are few reported cases in the United States and Canada. Four cases of retinopathy of prematurity treated by cryotherapy are presented with follow-up. This is done in an effort to stimulate further reporting and consideration of treatment of such cases.

摘要

随着新生儿学的迅速发展,挽救了更多极不成熟婴儿的生命,早产儿视网膜病变或晶状体后纤维增生症的发生率有所增加,尽管大多数病例可自发缓解,但严重的视力损害和失明仍会发生。视网膜病变的进展性病例对于在重症监护病房会诊的眼科医生来说是一个难题。日本人一直在探索急性病例的治疗方法,但在美国和加拿大报道的病例很少。本文报告了4例接受冷冻疗法治疗的早产儿视网膜病变病例及随访情况。这样做是为了促使进一步报告此类病例并考虑其治疗方法。

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