灌注液迷流综合征的表现和治疗的临床观察  

Clinical observation of manifestation and treatment of infusion misdirection syndrome

作　　者：江琳[1] 刘杰为[1] 柴飞燕[1] 刘文洁[1] Jiang Lin;Liu Jiewei;Chai Feiyan;Liu Wenjie(Department of Cataract, Shanxi Eye Hospital, Taiyuan 030002, Chin)

机构地区：[1]山西省眼科医院白内障科,太原030002

出　　处：《中华眼外伤职业眼病杂志》2018年第6期415-418,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察超声乳化术中发生灌注液迷流综合征的临床表现及治疗。方法回顾性病例研究。2009年1月至2016年12月共9例术中发生灌注液迷流综合征。9例中，7例给予快速静脉滴注20％甘露醇250ml后休息1h，1例包盖术眼安静休息1h，1例缝合主切口。结果9例经过非手术治疗后前房形成，眼压下降，继续完成手术。术后1d，2例角膜水肿，7例角膜透明，1例上方局部虹膜萎缩。所有患者的前房深度正常，IOL位置居中，视力均较术前提高，眼压均在正常范围。结论灌注液迷流综合征是晶状体超声乳化术中少见的一种并发症。包盖术眼休息、快速静脉滴注20％甘露醇可以重建前房，降低眼压。Objective To observe the clinical manifestation and treatment of infusion misdirection syndrome during phacoemulsification. Methods Nine eyes of 9 cases with infusion misdirection syndrome from Jan. 2009 to Dec. 2016 were analyzed retrospectively. Seven eyes were treated with one hour break after 20% mannital rapid intravenous drip. One eye was covered to rest for 1 hour. One eye was treated with the main incision suture. Results All the cases, the anterior chamber reformed and intraocular pressure decreased after non-surgical treatment, the remaining operative procedures could be finished successfully. One day postoperatively, corneal edema occurred in 2 cases,corneal clear in 7 cases and localized iris atrophy in 1 case. The anterior chamber of all cases were normal, the location of intraocular lens was in center, visual acuity was improved and intraocular pressure was within the normal range. Conclusion Infusion misdirection syndrome during phacoemulsification is a rare complication. After covering the operated eye to rest and 20% mannital rapid intravenous drip, anterior chamber and intraocular pressure could be normal.

关 键 词：灌注液迷流综合征 晶状体超声乳化术 表现 治疗 

分 类 号：R779.66[医药卫生—眼科]