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find Author "谭琦" 3 results
  • 老年性黄斑变性的视功能评估方法

    老年性黄斑变性(AMD)视功能评估包括远近视力、Amsler表、微视野、对比敏感度、视觉电生理检查以及调查问卷等。其中,早期治疗糖尿病视网膜病变研究组视力表、微视野计分别为远视力、视野检查的金标准;Amsler表检查简单廉价,常用于AMD的病情自我监测;多焦视网膜电图检查对测量环境、患者的注视性质和配合程度要求高;调查问卷反映AMD患者日常生活视功能的真实情况。根据各种评估方法的优缺点,合理选择多项评估方法联合应用,能更全面反映AMD病程变化和治疗干预结果,对提高AMD的临床诊断治疗水平具有重要的临床意义。

    Release date:2016-09-02 05:22 Export PDF Favorites Scan
  • The Comparative Analysis of Myopic Development in Different-aged Youngsters

    ObjectiveTo investigate the annual average myopic growth of different-aged youngsters in recent years. MethodsBetween July 2010 and September 2011, 103 myopic youngsters (206 eyes) aged 7 to 18 years were recruited at the Ophthalmologic Department in West China Hospital. We measured their myopic diopter, and let them wear normal spectacles according to the measurement, and then measured their myopic diopter again half a year later. The difference between the two measurements was recorded and analyzed. ResultsThe male group increased (-0.82±0.44) D per year, and the female group increased (-0.99±0.57) D per year, and the difference between the two groups had statistical significance (P<0.05). The male of 7 to 10 years old increased (-0.97±0.39) D per year, and of 11 to 14 years old increased (-0.92±0.41) D per year, and of 15 to 18 years old increased (-0.49±0.37) D per year, and the differences among the three male groups had statistical significances (P<0.01). The female of 7 to 10 years old increased (-1.22±0.46) D per year, and of 11 to 14 years old increased (-0.84±0.47) D per year, and of 15 to 18 years old increased (-0.61±0.67) D per year, and the differences had statistical significances (P<0.01). ConclusionThe annual myopic growth of youngsters is related with age and sex. The growth of the female is faster than the male, and the younger also grows faster.

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  • 心上联合径路治疗婴幼儿心上型完全性肺静脉异位引流 47 例

    目的总结婴幼儿心上型完全性肺静脉异位引流的早期诊断和应用心上联合径路手术治疗经验。方法2011 年 9 月至 2017 年 9 月,我院共完成 47 例婴幼儿心上型完全性肺静脉异位引流的手术治疗,其中男 34 例、女 13 例,年龄 3 d~1 岁,平均年龄(3.5±2.6)个月,平均体质量 2.7~8.0(4.9±1.2)kg。患者均由超声心动图确诊。所有患者均在全身麻醉中度低温体外循环下行矫治术,均采用左心房顶部切口,心上联合径路行手术治疗。结果全组手术顺利,术后死亡 2 例,围手术期死亡率 4.3%。随访 45 例,随访时间 6 个月~6 年,随访期均行心电图、心脏超声、胸部 X 线片检查。所有患儿心电图示窦性节律,心影较术前明显缩小,肺充血消失,心功能明显好转,吻合口血流速度正常。结论婴幼儿心上型完全性肺静脉异位引流病情危重,早期诊断、心上联合径路手术效果良好。手术成功的关键在于吻合口足够大,充分利用左心耳扩大吻合口,避免术后肺静脉回流梗阻。

    Release date:2019-03-01 05:23 Export PDF Favorites Scan
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