2019年6月 第34卷 第2期

主管:中华人民共和国教育部
主办:中山大学
承办:中山大学中山眼科中心
主编:葛坚 刘奕志
封面故事
眼健康专栏

小儿眼科检查前使用水合氯醛的护理

Nursing care of using chloral hydrate before pediatric ophthalmology examination

:66-68
 

10% 水合氯醛是最常用的小儿镇静药之一,广泛应用于眼科小儿检查和治疗前。对于年龄小、不配合的患儿,如何合理、安全使用水合氯醛,提高其镇静效果,减少其并发症发生,笔者总结护理心得如下:使用前对小儿进行全身的评估和家长的准备,使用时要掌握口服或灌肠的操作技巧,使用后要注意观察小儿的全身反应、用药效果和做好家长的宣教。

10% chloral hydrate is one of the most commonly used pediatric sedatives, which is widely used before ophthalmic pediatric examination and treatment. For young uncooperative children, how to use chloral hydrate reasonably and safely to improve their sedative effect and reduce the occurrence of complications, we summarized the nursing experiences, including evaluating childs whole body and the preparation of parents before its use; mastering operative techniques of oral or enema route of admission in its use; paying attention to observe the child's systemic response and efficacy of drug, and patient education

论著
眼科护理
临床病例讨论

新发双侧强直性瞳孔1例

Newly bilateral tonic pupil: A case report

:116-119
 

强直性瞳孔在临床工作中较为少见,容易被误诊,典型的强直性瞳孔为单侧,随着病程的进展,逐渐转变为双侧。新发双侧强直性瞳孔更是极为罕见,应当引起重视。其典型的临床表现包括瞳孔散大、瞳孔运动迟钝、节段性瞳孔麻痹、无其他眼部器质性病变。依据病因可以分为继发于急性眼内肌麻痹、合并有全身疾病以及特发性三类。目前治疗方面多以病因治疗为主。

Tonic pupil is rare in clinical work and likely to be misdiagnosed. The typical tonic pupil is unilateral, which gradually turns to bilateral with the progress of disease. Newly bilateral tonic pupil is extremely rare, which captivates widespread attention. Typical clinical manifestations include dilated pupils, slow pupil movement, segmental pupillary palsy, and no other ocular diseases. On this basis, the causes can be divided into three categories, including secondary to acute intraocular myoparalysis, complicated with systemic disease and idiopathic type. At present, etiological treatment is the main treatment.

医学教育

以上睑下垂为例阐明教学查房在外眼疾病教学中的重要性

Importance of teaching rounds in the teaching of external eye diseases illustrated by taking blepharoptosis as an example

:126-128
 

教学查房是手把手教学的重要手段和具体表现,是让同学们把书本知识应用到医疗诊疗中的重要桥梁。眼科学具有形象生动、结构复杂、直观性和操作性强等特点。外眼疾病的特征更是显而易见,针对外眼疾病诊疗中的一些不规范的操作也更易暴露出来。本文以上睑下垂为例,旨在阐明教学查房在外眼疾病教学中的重要性。

Teaching rounds are an important means and concrete manifestation of hands-on teaching, and an important bridge for students to apply book knowledge to medical diagnosis and treatment. Ophthalmology has the characteristics of vivid image, complex structure, intuition and strong operability. The characteristics of external eye diseases are more obvious, and some non-standard operations in the diagnosis and treatment of external eye diseases are easier to expose. This article takes blepharoptosis as an example to illustrate the importance of teaching rounds in the teaching of external eye diseases.

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    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
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  • Eye Science

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
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