摘要
目的 探讨口服卵磷脂络合碘治疗外伤性玻璃体出血的疗效。方法 对2005年2～7月在中山眼科中心就诊的门诊及收住院治疗的48例（48只眼）外伤性玻璃体出血患者，给予口服卵磷脂络合碘为主的药物治疗，并对伴有不同眼前段并发症及并发症的患者分别给予必要的手术及辅之以地塞米松、甘露醇静脉滴注或皮质类固醇口服。结果本组病例中治愈32例，好转104例，无明显变化的6例，总有效率为87．5％，治疗时间最短的1个月，最长的半年，对所有患者进行最终观察3个月到半年，均未发生继发性出血，有轻度玻璃体务索形成者为4例，遗留有轻度飞蚊症者6例，视力48例病人中42例病人提高至0．2以上。在应用卵磷脂络合碘过程中，未发现有因用药本身所致的不良反应和副作用。结论 口服卵磷脂络合碘治疗外伤性玻璃体出血疗效可靠，且给药方便．患者较易接受。
Objective To evaluate the effect of iodized lecithin on traumatic vitreous hemorrhage. Methods 48 inpatients or outpatients in Zhongshan Ophthalmic Center with vitreous hemorrhage caused by trauma from February, 2005 to July, 2005 were treated with iodized lecithin, that patients with coexisting diseases or complications would also be treated with necessary surgery, mannitol and dexamethasone. Results In our study, 32 vitreous hemorrhage patients completely recovered, 10 cases straightened up, and only 6 cases had no obvious chang. The whole efficacy rate is 87.5%. The shortest treatment duration was I month, and the longest was half of a year. We following up all of the patients 3 months to half of a year. second rebleeding had not been found. 4 cases have slight vitreous fibrous band formation, 6 cases have slight floating symptom, 42 cases out of all 48 cases have eyesight of more than 0.2. During the use of iodized lecithin, no adverse reaction an side effect was found. Conclusion Iodized lecithin taken in by oral is effect for patients with vitreous hemmorrhage, convenient and easily accepted by patients.
出处
《中华临床医学杂志》
2007年第3期18-20,共3页
Chinese Journal of Clinical Practical Medicine
