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[吩噻嗪类抗精神病药物治疗导致的角膜和晶状体沉积物]

[Corneal and lens deposits due to treatment by phenothiazine type neuroleptics].

作者信息

Pouget R, Blayac J P, Largey B, Alric R, Castelnau D, Boulet J

出版信息

Ann Med Psychol (Paris). 1976 Mar;1(3):403-7.

PMID:7987
Abstract

The authors have studied the corneal and lens lesions which appeared following a prolonged treatment by phenothiazines. They examined 186 patients: 147 took phenothiazines of which 35 of them presented anterior segment alterations. It seems that all phenothiazines can be held responsible for the apparition of these lesions. At this point the authors evaluated the global dose of the various phenothiazines which were administered. The threshold at which the association of these lesions seem to appear, seems to be situated around 300 gr. The total quantity of phenothiazines which are absorbed seems to be a good measure of the risk of ocular toxicity. In the case of one patient they observed that his visual keenness was lowered due to the importance of his corneal and lens lesions.

摘要

作者们研究了长期使用吩噻嗪类药物后出现的角膜和晶状体病变。他们检查了186名患者:147名服用了吩噻嗪类药物,其中35名出现了眼前节改变。似乎所有的吩噻嗪类药物都可能导致这些病变的出现。在这一点上,作者评估了所使用的各种吩噻嗪类药物的总剂量。这些病变似乎出现的阈值剂量似乎在300克左右。吸收的吩噻嗪类药物总量似乎是眼部毒性风险的一个很好的衡量指标。在一名患者的病例中,他们观察到由于其角膜和晶状体病变严重,其视力敏锐度降低。

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