摘要
为了解眼科手术与全身病的相互影响，统计了１４８６例５０岁以上的白内障、青光眼及视网膜脱离等常见手术的并发症及手术期间发生的全身病。结果：患有全身病者白内障手术的并发症较多。眼科手术期间全身病的发生率为５．５％，最常见者为高血压及心脏病，且多与原有的全身病有关。患有各种不同全身病者虽多达全部病例的６５．５％，但术后死亡明显与眼科手术有关者仅有１例（０．６７‰）。结论：许多有全身病的中老年患者经过必要的术前准备及良好的术中术后监护，都可以安全完成眼科手术；在监护中应特别重视高血压、心脏病。
bjective:To study the influence of ophthalmic surgery and systemic diseases on each other.Methods:Clinical analysis of the surgical complications and systemic diseases occurring during the course of operation of 1486 cases of cataract,glaucoma and retinal detachment,more than 50 years of age.Results:There were relatively more frequent complications of cataract surgery in patients with preexisting systemic disease.The morbidity of systemic disease during the course of operation was 55%,the hypertension,heart disease had the highest occurence,and most of them were related to the preexisting systemic diseases.Although there were more than 655% cases with various systemic diseases,the mortality obviously associated with ophthalmic surgery was 067‰,e.g.only one in 1486 cases.Conclusion:Most senile and presenile patients with systemic diseases could safely undergo ophthalmic surgery after necessary preparation and under sufficient care during the course of operation,with particular attention to hypertension heart disease and preexisted systemic diseases
出处
《中国实用眼科杂志》
CSCD
1998年第3期177-179,共3页
Chinese Journal of Practical Ophthalmology
