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高氧血症时的视网膜中央动脉,以及眼底镜检查在预防晶状体后纤维增生症(早产儿视网膜病变)中的可能作用。

Central retinal arteries in hyperoxemia, and a possible role of fundusscopy in prevention of retrolental fibroplasia (retinopathia praematurorum).

作者信息

Bracher D

出版信息

Helv Paediatr Acta. 1983 Mar;38(1):27-38.

PMID:6688068
Abstract

Width and tortuosity of the central retinal arteries have been measured on fundus photographs of 9 full-term newborns under intensive care taken at least once in normoxemia and once in inadvertent hyperoxemia. In agreement with previous investigators no correlation was found between the actual paO2 and width of the arterioles. This is newly explained as a modification of the effect of paO2 on the vessel through acute asphyxia and adaptational phenomena. In opposition to the commonly accepted view on prevention of retrolental fibroplasia it is felt that the use of fundusscopy during intensive care should be reconsidered.

摘要

在9名接受重症监护的足月儿的眼底照片上,测量了视网膜中央动脉的宽度和迂曲度,这些照片至少在血氧正常和意外高氧血症状态下各拍摄一次。与之前的研究人员一致,未发现实际的动脉血氧分压与小动脉宽度之间存在相关性。这一新的解释是,通过急性窒息和适应性现象,动脉血氧分压对血管的影响发生了改变。与普遍接受的预防晶状体后纤维增生的观点相反,有人认为在重症监护期间应重新考虑使用眼底镜检查。

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