小剂量巩膜上腔麻醉在眼球穿通伤修复术中应用  

Application of Supra Sclera Cavity Anesthesia with Lower dose of Drug in Prosthesis of Perforating Injured Eyeballs

作　　者：黄燕[1] 王班伟[1] 黎立军[1] 

机构地区：[1]广东医学院第二附属医院眼科,广东湛江524003

出　　处：《国际医药卫生导报》2006年第17期30-31,共2页International Medicine and Health Guidance News

摘　　要：目的探讨小剂量巩膜上腔麻醉在眼球穿通伤修复术中临床应用效果。方法对眼球穿通伤修复术46例采用巩膜上腔麻醉:表面麻醉后从结膜伤口用注水虹膜恢复器沿眼球壁至球后巩膜上腔注入1～1.5ml2%利多卡因和0.75%布比卡因等量混合液。观察术中麻醉效果及其并发症。结果所有病例在注药后1～2min达到I级(63%)和Ⅱ级(37%)麻醉,都能很好配合手术,无球后麻醉并发症。结论小剂量巩膜上腔麻醉对于眼球外伤修复术是一种安全、有效的麻醉方法。Objective This study was to evaluate the effectiveness of supra sclera cavity anesthesia with lower dose of drug in prosthesis of perforating injured eyeballs. Methods The prosthesis for the patients （46 cases） who had suffered perforating ocular injury was performed under supra sclera cavity anesthesia. The mixture of 1-1.5ml of 2% lidocaine and equal volume of 0.75% bupivacaine was injected into the supra sclera cavity using the affusion iris repository via the wound on conjunctiva and following the wall of eyeballs under surface anaesthesia. The effectiveness of the anesthesia in the operation and complications were observed. Results Anesthesia of level 1 （63%） or 2 （37%） was achieved in 1-2min after application of drug in all cases. All the patients were cooperative during operation. No complications of retrobulbar anesthesia were observed. Conclusions The supra sclera cavity anesthesia with lower dose of drug is a safe and effective anesthesia for the prosthesis of perforating-injured eyeballs.

关 键 词：巩膜上腔麻醉 眼球穿通伤 手术 

分 类 号：R779.6[医药卫生—眼科] R614.3[医药卫生—临床医学]