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Wysłany: Czw 15:35, 24 Mar 2011
Temat postu: abercrombie fitch outlet Infants with congenital d
Infant comprehensive treatment of congenital dacryocystitis
),
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, Late probing a 78.66% success rate (134/16), the early success rate was significantly higher probing. In 461 the nasolacrimal duct probing in children, the emergence of subcutaneous edema in 7 eyes accounted for 1.52%; canalicular tear 4 accounted for 0.87%; corneal abrasion 2 0.43% of all patients children are not bleeding, infection or complications such as asphyxia. 3 infants with congenital dacryocystitis discussed by the congenital developmental disorder caused by lacrimal duct. Common are the lower end of the nasolacrimal duct was closed by congenital remnant film, or luminal epithelial cells by blocking debris, a few because of nasal deformity, nasal lacrimal duct stenosis caused by bone. 2]. So that the retention of tears and bacteria within the lacrimal sac due to secondary infection caused by 137. About 2% to 4% of the full-term children contracting this disease J. Nasolacrimal duct obstruction in children than lead to epiphora, eyelid eczema, the continuous epiphora added infection can occur keratitis, corneal ulcers,
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, corneal perforation, and even endanger the health of children. Nasolacrimal duct probing technique for the treatment of congenital dacryocystitis main method. Timing of surgery in recent years, most ophthalmologists have reached a consensus: early probing (6 months) compared with late probing (6 months after birth) one-time high cure rate. Zhang Li believes that pressure washing before 3 months of high cure rate of more than 4 months after membrane thickening and accumulation due to tear caused by the propagation of microorganisms, stimulate the lumen caused mucosal inflammation, which require line of lacrimal surgery. 4 months later, the basic development of lacrimal duct,
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, the lacrimal to 4 months in advance. Zeng, etc. report: infantile nasolacrimal duct obstruction channel probing technique is the best time within 6 months. Guo Xiangming other early probing in the analysis and comparison (6 months ago) and the late probing (7 months) patients,
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, and found a success rate of early probing was significantly increased, accounting for 86.6%, the difference was significance (P <0.01), and that of congenital nasolacrimal duct obstruction in children with comprehensive treatment, including antibiotics, eye drops and massage the lacrimal sac drops, and nasal lacrimal lacrimal cure rate of 98% or more. Comprehensive treatment of this group of patients, including antibiotic eye drops and massage the lacrimal sac method, lacrimal, nasal lacrimal duct probing method, a success rate of 9r7.66%, in line with the literature, to obtain a more satisfactory results. We believe that within 2 months for the children, the use of antibiotic eye drops and massage treatment is appropriate lacrimal sac, mainly from the perspective of organizational development, organized under the residual nasolacrimal film (Hasner valve) usually after birth 4 to 6 weeks of natural perforation, and 1 month or less easy to break through the plastic film and healing massage. For children 2 months later, when the absence of acute conjunctivitis and treatment of acute dacryocystitis, the use of washing and probing functionality with the hollow probe lacrimal probe lacrimal and one for a washing, convenient and less the number of visits, shorten treatment time, reducing the suffering of children. Especially for remote and inaccessible rural children are more important. After the success of probing massage sac and asked the parents of children with antibiotic eye drops after one week if epiphora and discharge line is once again a lacrimal probe through a wash. 91.07% of this group is a success. In infants with congenital dacryocystitis were nasolacrimal probing treatment, in addition to fixed head, the surgeon should have a skilled technique, action should be gentle, in order to reduce the incidence of complications and the suffering of children.
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