Lloyd W C
Ophthalmic Surg. 1984 May;15(5):414-8.
Ophthalmic surgeons can expect increased opportunities in the future to treat patients who undergo maintenance hemodialysis. Such patients often present with complex medical problems and carry high risk factors for surgery. Nevertheless, the full range of ophthalmic surgical procedures can be accomplished without increased morbidity when patient management is carefully organized between the ophthalmologist and nephrologist. In this report the physiology of the functionally anephric patient is reviewed. Attention is directed to the most commonly encountered complications: systemic hypertension, uremia, electrolyte imbalance, drug toxicity, and arteriovenous fistula thrombosis. Specific guidelines are then presented to reduce the risk of complications at each phase of hospitalization.
眼科医生未来有望获得更多机会,为接受维持性血液透析的患者进行治疗。这类患者常常伴有复杂的医疗问题,且手术风险因素较高。然而,当眼科医生和肾病科医生精心组织患者管理工作时,所有眼科手术操作都能在不增加发病率的情况下完成。在本报告中,对功能性无肾患者的生理机能进行了综述。重点关注了最常见的并发症:系统性高血压、尿毒症、电解质失衡、药物毒性以及动静脉瘘血栓形成。随后给出了具体指南,以降低住院各阶段的并发症风险。