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在控制性全身低血压麻醉下进行人脉络膜视网膜活检。

Human chorioretinal biopsy under controlled systemic hypotensive anaesthesia.

作者信息

Constable L J, Chester G H, Horne R, Harriott J F

出版信息

Br J Ophthalmol. 1980 Aug;64(8):559-64. doi: 10.1136/bjo.64.8.559.

DOI:10.1136/bjo.64.8.559
PMID:7426573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1043762/
Abstract

This paper describes a simplified technique for biopsy of the retina and choroid which had been used in 5 human volunteers. The biopsy was carried out in 4 immediately before enucleation of an eye for malignant melanoma and in 1 patient who was undergoing trabeculectomy for painful glaucoma associated with retinitis pigmentosa. A combination of intravenous mannitol and transient controlled systemic hypotension, induced under general anaesthesia with intravenous sodium nitroprusside, was used in 3 cases and resulted in no vitreous loss and minimal bleeding. In the 2 cases in which hypotension was not used bleeding was a definite problem, but no vitreous loss was experienced.

摘要

本文描述了一种用于视网膜和脉络膜活检的简化技术,该技术已应用于5名人类志愿者。其中4例活检是在因恶性黑色素瘤而摘除眼球之前立即进行的,1例是为患有与色素性视网膜炎相关的疼痛性青光眼而正在接受小梁切除术的患者。3例使用了静脉注射甘露醇和在全身麻醉下通过静脉注射硝普钠诱导的短暂控制性系统性低血压,结果没有发生玻璃体丢失且出血极少。在未使用低血压的2例中,出血是一个明确的问题,但未发生玻璃体丢失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285a/1043762/d1edb217f463/brjopthal00200-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285a/1043762/ea140b55af61/brjopthal00200-0018-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285a/1043762/3d3696cfef73/brjopthal00200-0019-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285a/1043762/a17845d22816/brjopthal00200-0019-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285a/1043762/7f824f970370/brjopthal00200-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285a/1043762/d1edb217f463/brjopthal00200-0021-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285a/1043762/ea140b55af61/brjopthal00200-0018-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285a/1043762/3d3696cfef73/brjopthal00200-0019-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285a/1043762/a17845d22816/brjopthal00200-0019-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285a/1043762/7f824f970370/brjopthal00200-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/285a/1043762/d1edb217f463/brjopthal00200-0021-a.jpg

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1
Human chorioretinal biopsy under controlled systemic hypotensive anaesthesia.在控制性全身低血压麻醉下进行人脉络膜视网膜活检。
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引用本文的文献

1
Full-thickness eye-wall biopsy: long-term results in 9 patients.全层眼壁活检:9例患者的长期结果
Br J Ophthalmol. 1981 Oct;65(10):723-6. doi: 10.1136/bjo.65.10.723.
2
Chorioretinal biopsy in a patient with leukaemia.白血病患者的脉络膜视网膜活检。
Br J Ophthalmol. 1981 Jul;65(7):489-93. doi: 10.1136/bjo.65.7.489.
3
Intraocular reticulum cell sarcoma: diagnosis by choroidal biopsy.眼内网状细胞肉瘤:经脉络膜活检确诊

本文引用的文献

1
Chorioretinal biopsy in dogs.犬脉络膜视网膜活检
Invest Ophthalmol Vis Sci. 1980 Jun;19(6):603-9.
2
Biopsy of human scleral-chorioretinal tissue.人巩膜-脉络膜视网膜组织活检。
Invest Ophthalmol. 1975 Sep;14(9):707-10.
3
Full-thickness eye wall biopsy. I. An experimental approach to the tissue diagnosis and study of choroidal and retinal lesions.全层眼壁活检。I. 脉络膜和视网膜病变组织诊断及研究的实验方法。
Br J Ophthalmol. 1987 Oct;71(10):748-52. doi: 10.1136/bjo.71.10.748.
4
Transvitreal retinochoroidal biopsy.经玻璃体视网膜脉络膜活检。
Graefes Arch Clin Exp Ophthalmol. 1989;227(4):369-73. doi: 10.1007/BF02169415.
5
Invasive diagnostic techniques for uveitis and simulating conditions.葡萄膜炎及类似病症的侵入性诊断技术
Trans Am Ophthalmol Soc. 1990;88:89-104; discussion 104-7.
Invest Ophthalmol. 1975 Jun;14(6):484-7.
4
Transvitreal chorioretinal biopsy in the rabbit.兔经玻璃体脉络膜视网膜活检
Am J Ophthalmol. 1975 Jan;79(1):25-38. doi: 10.1016/0002-9394(75)90452-3.
5
Full-thickness eye wall biopsy. II. In primates.全层眼壁活检。II. 灵长类动物研究。
Invest Ophthalmol. 1975 Jul;14(7):565-7.