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題名:以TPA治療外傷性前房出血──病例報告     (10點)
TREATMENT OF TRAUMATIC HYPHEMA BY INTRACAMERAL INJECTION OF TISSUE PLASMINOGEN ACTIVATOR──ONE CASE REPORT
著者:劉秀雯(Shiow-Wen Liou) ;邱正仁(Cheng-Jen Chiu)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Tissue plasminogen activator ; Traumatic hyphema
刊名:中華民國眼科醫學會雜誌
卷期:38卷4期(1999.12)
頁碼:684-688
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:本文報告利用TPA治療外傷性前房出血且併發術後再出 血的病忠之病例 方法:病例報告 結果:病患四十歲男性,因車禍造成右眼外傷性前房出血,在他 院接受了兩次前房沖吸治療:第一次手術後血塊未能清除,而第二次 手街中發生再出血及術從眼壓升高現象。來本院求診時?右眼視力僅 有辨別手動程度,前房有大量血塊及纖維膜增生,眼壓62mmHg 。住 院從接受兩次前房TPA(5μg) 注射及沖吸治療7 血塊很快有溶解的情 形,而前房纖維膜逐漸消失,眼壓也回復到正常。出院後在門診追蹤 中,右眼眼壓一直維持正常?角膜僅有一些血色素染色?右眼最佳矯 正視力可達壹點零。 結論:外傷性前房出血是眼科急症之一,尤其是合併前房內纖維 增生及眼壓升高時,更是難以處理。本院眼科利用TPA來治療一位 複雜外傷性前房出血且發生術後再出血的病患,獲得良好成果,特提 出報告並採討TPA在眼科上的應用。
Tissue plasminogen activator (TPA) is a serine protease that converts plasminogen to plasmin. Plasmin will bind to fibrin and result in fibrinolysis. We presented a forty-year-old male who had traumatic hyphema with dense blood clot, anterior chamber fibrin formation and glaucoma in the right eye. After twice unsuccessful anterior chamber irrigation/ aspiration, intraoperative rebleeding developed after the second operation and post-operative intraocular pressure (lOP) elevation was noted. He was transferred to our hospital and intracameral injections of TPA (5(g) with irrigation/aspiration procedures were performed twice. Clotted blood resolved and IOP returned to normal. 3 years later, the best-corrected visual acuity was 1.0. The an terior chamber was quiet and IOP remained no[mal. This case demonstrated that intracameral injection of TPA might be a simple and effective method for intractable hyphema combined with fibrous membrane. Received:


    

本卷期目次
中華民國眼科醫學會雜誌 38卷4期 (1999.12)
RESULTS OF ORBITAL DECOMPRESSION PERFORMED PRIMARILY FOR COSMETIC INDICATION IN THYROID ORBITOPATHY/ Yuch-Ju Tsai, MDLih Ma, MD
ENUCLEATION WITH PRIMARY HYDROXYAPATITE IMPLANT IN TREATMENT OF RECALCITRANT ENDOPHTHALMITIS/ Elizabeth P. ShenShu-Lang LiaoMuh-Shy ChenPing-Kang Hou
SHORT-TERM INTRAOCULAR PRESSURE DYNAMICS AFTER TRABECULECTOMY/ Shi-Huang Lcc, MDCheng-Shun Wu, MD
TOPOGRAPHIC PATTERNS OF PHOTOREFRACTIVE KERATECTOMY CANDIDATES/ Hao-Liang HungHsuei-Yuh LuTong-Sheng LceChao-Chien Hu
THE CHANGES OF ACCOMMODATION IN SCHOOLCHILDREN WITH ATROPINE USING/ Cheng-Wen LeeChong-Bin TsaiYung-Feng ShihJau-Kang HuangLuke L-K LinPor-Tying Hung
TEN YEARS OF CHILDHOOD GLAUCOMA ANALYSIS/ Jen-Chia TsaiMei-Ching TengIng-Chou Lai
台灣中部幼兒性青光眼的評估/ 王俊元李世煌
術後隅角狹窄程度與雅鉻雷射虹膜穿孔術療效之關條/ 沈素琴許慶堂蕭靜熹陳賢立
近視及散光病人施行準分子雷射輔助層狀角膜重塑術後之不同角膜弧度值變化/ 胡朝乾施玫如盧雪玉
以治療性雷射角膜切除術治療Reis- Bücklers' 角膜失養症/ 蘇良榮李瑞鋒
不同視力對外斜視手術結果的影響/ 沈秉衡王俊元
DE MORSIER SYNDROME──CASE REPORT/ Huan-Chen HsuIng-Chou Lai
FAMILIAL AXENFELD-RIEGER ANOMALY/ Chuan-Yi SuKwou-Yeung Wu
對於穿透眼球且卡於眼球正後方之金屬性異物進行摘除手街的解剖學界標──病例報告/ 沈秉衡王俊元
靜脈注射乙醇導致急性中毒之病例報告/ 傅振男劉人傑楊榮華黃衛國許武田楊榮木
以TPA治療外傷性前房出血──病例報告/ 劉秀雯邱正仁
 
   
 
   

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