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眼科手术中的神经安定镇痛术(作者译)

[Neuroleptanalgesia in ophthalamic surgery (author's transl)].

作者信息

Casanovas J

出版信息

Klin Monbl Augenheilkd. 1977 Jun;170(6):850-2.

PMID:894989
Abstract

After listing the bibliography, the author sugests cases in which neuroleptanalgesia is specially advisable in ophthalmic surgery, mainly in delicate and not too long operations (cataract, glaucoma a.s.o.). In cases of ocular hypertension "Diamox" is previously injected. In the premedication "Valium", and in some patients "Fentanest" and "Droperidol". During surgery the patient breathes spontaneously; oxygen is provided by means of a nasopharyngeal sound. In cataract operations akinesia is recommended. Neuroleptanalgesia has been employed in 140 eyes, mainly in cataracts (80 cases) and chronic simple glaucoma (40 cases).

摘要

在列出参考文献后,作者提出了在眼科手术中特别适合使用神经安定镇痛术的情况,主要是在精细且耗时不长的手术(如白内障、青光眼等)中。对于眼压高的情况,术前注射“乙酰唑胺”。术前用药使用“地西泮”,部分患者还使用“芬太尼”和“氟哌利多”。手术过程中患者自主呼吸;通过鼻咽通气管提供氧气。在白内障手术中建议使用肌松药。已对140只眼睛采用神经安定镇痛术,主要用于白内障(80例)和慢性单纯性青光眼(40例)。

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