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High glucose, inosine, Danshen treatment centers combined energy mixture serous chorioretinopathy Clinical Observation

; Inosine; Danshen; energy mixture; central serous retinopathy of Baotou Medical College 56, Volume 25, central serous chorioretinopathy (hereinafter referred to as the pulp disease) is common in middle-aged men, two distributed , self-limiting eye, but the course of several months, easy to repeated attacks, affecting vision. The disease occurs in healthy men may also binocular monocular involvement, age more than 25 to 50 years old Ⅲ. Our department from January 2005 to June 2008 patients were treated in 55 cases of 61 pulp, are used in high glucose, inosine, Salvia joint energy mixture, and effective, the report is as follows. I object the object and methods 1.1 61 55 patients in this group (non-diabetic patients), 42 males and 13 females, age 26 made in 31 cases, 24 cases of recurrence; the shortest possible time after onset of treatment 2d, up to 2 weeks; course of the disease within 1 month in 18 patients, 1 to 3 months in 27 cases,[link widoczny dla zalogowanych], 3 to 6 months in 8 cases,[link widoczny dla zalogowanych], 6 months or more in 2 cases. I. 2 way Injection 500mg Inosine added 50 glucose 40mL, day 1 intravenous injection, continuous 7d; Danshen injection 12mL in 5 glucose 250mL, day 1 infusion; joint energy mixture of adenosine triphosphate-pin 40mg,[link widoczny dla zalogowanych], coenzyme A100U in 5 glucose 250mL, day 1 infusion; also aids to the eyes of amino acids and amines 0.4g iodine 2mL and the general day 1 intramuscular injection of vitamin B. And vitamin C0.2g 100mg orally 3 times a day. 15d as a continuous course of treatment. 1.3 standard curative effect before the onset of visual recovery to the level or up to 1.0, vision recovered, yellow 'spots Department of edema, exudate absorption, reflection center there; improvement to visual acuity, but less than or up to the level before the onset of less than 1. O, the partial restoration of vision, macular edema, exudate is not absorbed, the center but not reflective; invalid as a vision, no improvement in vision, retinopathy no obvious improvement. 2, 53 eyes of 48 cases were cured, accounting for 86.9, 8 eyes of 7 patients improved, 13.1. The observation of non-valid cases, the total effective rate was 100.0. Found no adverse reactions. 3 discussion disease disease plasma leakage caused by the pigment epithelium, resulting in pigment epithelial barrier function is impaired choroidal capillaries leak fluid containing large amounts of protein, pigment epithelium damaged by infiltration of nerves at the subcutaneous layer of the disc causing nerve sensory like from [1]. The disease of unknown etiology, most patients can relieve itself, but the long duration or recurrent emergence of visual function caused irreversible damage to the patient's life and work serious. 5O hypertonic glucose solution, choroid and retina with nutrients, dehydration and to facilitate the discharge of the role of choroidal effusion; inosine in vivo energy metabolism and protein synthesis, directly into the cells involved in glucose metabolism, increase the activity of enzymes, in particular, can increase the activity of coenzyme A, ATP increased the level of the body to promote retinal cell metabolism, increase as the cell response, and improve visual function; Danshen with the expansion of blood vessels, enhance the organization's hypoxia, improve the blood distribution, improve the chorioretinal microcirculation obstacles, and can reduce capillary permeability, so that the grout to reduce leakage, exudate absorption, promote pigment epithelial barrier function recovery [2; energy mixture and vitamins to supply the body cell biological and biochemical activities of the energy required, promote retinal cell metabolism, increase the reactivity of the retina and improve visual function, the expansion of peripheral blood vessels, promote blood circulation, improve local nutrition, increase the resistance of capillary walls to reduce the choriocapillaris exudate,[link widoczny dla zalogowanych], promote the absorption of edema and inflammation [3 ]. High glucose, inosine, and vitamin mixture Salvia joint energy can reduce edema and improve the microcirculation of the retina, and promote the recovery of local pigment epithelium and choroid exudate absorption and shorten the course of the disease in the slurry to promote the recovery of visual function. The clinical observation of a return visit within 1 year after the recurrence of the disease have not been found. The clinically proven, high-sugar, inosine, Salvia joint energy mixture and efficacy of vitamin treatment of pulp disease is reliable for clinical treatment.
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