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作者复习了自1955～1980年出院诊断为青光眼的全部病例。在913份病历中,发现脊椎或全身麻醉后有9例发生急性闭角型青光眼。作者认为麻醉是对易感患者诱发本病的危险因素,并建议麻醉科、眼科和外科医师警惕这一并发症,因为患者在术后昏睡或服镇静药后急性青光眼的症状和体征可极轻微而被忽视。 9例中2例双眼发生闭角型青光眼,7例单眼发病。从出现症状到确诊的时间约几小时至5天。患者年龄40～78岁,平均63岁。女性7人,男性2人。5人接受妇科或泌尿科手术,2人接受腰交感神经切除术,1人行甲状腺切除术,另1人作支气管镜和食管镜检查。
The authors reviewed all cases of glaucoma diagnosed as having been discharged from 1955 to 1980. In 913 medical records, acute angle-closure glaucoma occurred in 9 patients following spine or general anesthesia. The authors consider anesthesia to be a risk factor for this disease in susceptible patients and advise anesthesiologists, ophthalmologists and surgeons to beware of this complication, since the symptoms and signs of acute glaucoma may be minimal after patients are drowsy or sedated after surgery And ignored. Two of the nine patients had angle-closure glaucoma in both eyes, and seven patients had monocular disease. From symptoms to diagnosis of the time of about a few hours to 5 days. Patients aged 40 to 78 years, mean 63 years old. 7 females and 2 males. 5 received gynecological or urological surgery, 2 received lumbar sympathectomy, 1 had thyroidectomy, and the other had bronchoscopy and esophagoscopy.