Objective
To summarize the visual outcome of patients with severe ocular trauma treated with vitreous surgery.
Methods
Clinical data of 188(191 eyes) with severe ocular trauma treated with vitreous surgery in a period from November 1996 to April 1998 were analysed retrospectively.
Results
The study included penetrating injury in 56 eyes, foreign bodies in the posterior segment in 70 eyes, blunt injury in 41 eyes , and globe rupture in 24 eyes. Main complications included endophthalmitis in 35 eyes, choroidal bleeding in 20 eyes, retinal detachment in 60 eyes, and vitreous hemorrhage in 97 eyes. Post-opera-tively, out of 188 eyes, except for 3 of patients too young to examine, visual acuity improved in 133(70.7%), including 85(45.2%) with visal acuity 0.02-1.0, 46(24.5%) remained unchanged; and 9(4.8%) had worse vision. Among 34 with no-light-perception, 12 had light-perception or over.
Conclusion
A majority of severe trauma eyes can be salvaged with considerable visual recovery after adequate and timely vitreous surgery.
(Chin J Ocul Fundus Dis,1999,15:4-6)
【摘要】 目的 探討減少輸卵管間質部妊娠腹腔鏡術中失血的方法。 方法 選擇2007年1月-2010年6月49例診斷為輸卵管間質部妊娠的患者隨機分成觀察組（24例）和對照組（25例）。觀察組在腹腔鏡切開異位妊娠病灶前于宮角注射垂體后葉素6 U，待子宮收縮后手術；對照組直接切開異位妊娠病灶進行手術。比較兩組手術時間、術中出血量、血壓、術后肛門排氣時間、體溫等方面的差異以及隨訪患者月經恢復時間。 結果 觀察組和對照組手術時間分別為（34.29±7.96）、（53.68±10.48） min，術中出血量為（48.04±9.49）、（85.52±15.24） mL，差異有統計學意義（Plt;0.05）；兩組在術后肛門排氣時間、術后體溫、術前血壓、妊娠病灶切開后5 min的血壓以及觀察組使用垂體后葉素前后的血壓差異均無統計學意義（Pgt;0.05）。兩組患者在術后30～41 d月經復潮。 結論 輸卵管間質部妊娠腹腔鏡術中使用垂體后葉素能明顯縮短手術時間和減少術中出血量，不增加持續性宮外孕的發生。【Abstract】 Objective To explore the method of reducing bleeding in laparoscopy for interstitial pregnancy. Methods Forty-nine patients diagnosed to have interstitial pregnancy between January 2007 and June 2010 were randomly divided into observation group (24 cases) and control group (25 cases). Patients in the observation group were given an injection of 6 U pituitrin in the horn of uterus before the incision of lesions in laparoscopy, and operation was performed after uterine contraction; while the lesions of patients in the control group were directly incised. The differences between the two groups in operation time, blood loss during the operation, blood pressure, exhaust time and temperature were studied and the recovery time of menstrual period was followed up. Results The operation time of the observation group and the control group was (34.29±7.96) minutes and (53.68±10.48) minutes; the blood loss was (48.04±9.49) mL and (85.52±15.24) mL, respectively. The difference in the operation time and blood loss between the two groups was significant (Plt;0.05). The difference in other indexes between the two groups such as the exhaust time, postoperative body temperature, the blood pressure before operation and within five minutes after the incision of the lesion was not statistical (Pgt;0.05). The recovery time of menstrual period in the two groups was 30 to 41 days. Conclusion Using pituitrin in laparoscopy for interstitial pregnancy can significantly shorten operation time and reduce blood loss, and will not increase the incidence rate of persistent ectopic pregnancy.
Objective To analyze the trends in the burden of intracerebral hemorrhage (ICH) and its related risk factors in China from 1990 to 2021, providing evidence for targeted prevention and control. Methods Based on public data from the Global Burden of Disease Study 2021, four epidemiological indicators, including incidence, prevalence, deaths, and disability-adjusted life-years (DALYs) were selected to describe the burden of ICH in China in 2021. Change rates and estimated annual percentage changes (EAPC) were calculated to evaluate the trends in disease burden from 1990 to 2021. The Das Gupta method was used to decompose the effects of population growth, population aging and epidemiological changes on the burden during this period. Finally, the attributable burden of risk factors related to ICH was analyzed. Results In 2021, the age-standardized incidence, prevalence, mortality, and DALY rates of ICH in China were 61.2/100000, 222.1/100000, 68.8/100000, and 1351.6/100000, respectively, all higher than global estimates. From 1990 to 2021, although these rates showed a declining trend (EAPC: ?2.24, ?1.26, ?2.38, and ?2.47, respectively), the absolute disease burden, including the absolute number of incidence cases, prevalence cases, deaths, and DALYs, continued to rise, with an increase ranging from 20.57% to 51.59%. In addition, the burden of ICH in China varied by age and sex, with older adults and males experiencing a higher burden. Decomposition analysis indicated that population aging and growth were the primary drivers of the increasing ICH burden in China, while epidemiological changes mitigated this trend. Metabolic factors were the predominant attributable risk factors for ICH. High systolic blood pressure, ambient particulate matter pollution, and diet high in sodium were important risk factors common to both genders. The DALY burden attributable to smoking and alcohol use was higher in men, whereas impaired kidney function and secondhand smoke had a greater impact on women. Conclusions The burden of ICH in China has continued to increase from 1990 to 2021, and it may further escalate in the context of population aging. Risk factor control remains a key priority for prevention. Future strategies should incorporate age- and sex-specific interventions to reduce the ICH burden in China.
摘要:目的: 分析兇險型前置胎盤的臨床特點, 預防產后出血和子宮切除的發生。 方法 :對11例兇險型前置胎盤與75例普通型前置胎盤的病例進行回顧性分析。 結果 :兇險型組與普通型組發生產前出血的量差異無統計學意義(Pgt;0.05);在發生胎盤植入、產后出血的量差異有統計學意義(Plt;0.05);子宮切除的發生率差異有統計學意義(Plt;0.05)。 結論 :兇險型前置胎盤對孕產婦有極大的威脅,應努力做好兇險型前置胎盤產后出血的搶救,減少子宮切除的發生。Abstract: Objective: To assess the clinical feature of dangerous placenta praevia in order to prevent postpartum hemorrhage and intrapartal hysterectomy. Methods : Retrospective analysis was done between the 11 cases of dangerous placenta praevia and ordinary placenta praevia . Results : There were no significant difference in blood volume antepartum (Pgt;0.05); There was significant difference in placenta increta and postpartum hemorrhage (Plt;0.05). Conclusion : Dangerous placenta praevia have great threat to gravid and puerperant, we should try our best to rescue postpartum hemorrhage about dangerous placenta praevia and reduce the incidence of intrapartal hysterectomy.
