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全身麻醉对斜视手术中眼球位置的影响(作者译)

[Influence of general anaesthesia on the position of the eyes during surgery of strabismus (author's transl)].

作者信息

Souron R, Quéré M A, Péchereau A

出版信息

Anesth Analg (Paris). 1980;37(7-8):393-7.

PMID:7425320
Abstract

The position of the eyes during anaesthesia can help the diagnosis of mechanism of esotropia. 211 patients between 2 and 8 years old are planed for surgery of esotropia. They are anaesthetized with halothane. When surgical level of anaesthesia is obtained, the position of the eyes is looked for and thereafter the lateral rectus muscle of the eye is stretched for evaluation of its lengthening capacity. The results show that the correction of esotropia during anaesthesia is obtained in 46,4 p. cent of the cases. When esotrpia is corrected by anaesthesia, the stretching of the lateral rectus muscle is normal in 91 p. cent of the cases. So the position of the eyes during anaesthesia can let us to presume that anatomical anomaly of the muscle is absent and that a spasm of the muscle is involved.

摘要

麻醉期间眼睛的位置有助于内斜视机制的诊断。211例2至8岁的患者计划接受内斜视手术。他们使用氟烷进行麻醉。当达到手术麻醉平面时,观察眼睛的位置,然后拉伸眼球的外直肌以评估其延长能力。结果显示,46.4%的病例在麻醉期间内斜视得到矫正。当通过麻醉矫正内斜视时,91%的病例中外直肌的拉伸是正常的。因此,麻醉期间眼睛的位置可以让我们推测肌肉不存在解剖异常,而是涉及肌肉痉挛。

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