高龄偏瘫、脑梗病史老人 成功实施白内障手术
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics.app.cnyw.net/static/publish/css/style.css?v=1605251010503" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010503"><!-- 付费贴--> <div class="preview_article "> <!----> <section style="font-size: 16px;"><section style="text-align: center; line-height: 1.9; letter-spacing: 2.2px;"><p class="empty_paragraph" style="margin-bottom: 0px; letter-spacing: 0.578px; text-wrap: wrap; color: #353535; font-family: Helvetica Neue, Hiragino Sans GB, Microsoft YaHei, 黑体, Arial, sans-serif; text-align: center; background-color: #ffffff;"> </p><p class="empty_paragraph" style="margin-bottom: 0px; letter-spacing: 0.578px; text-wrap: wrap; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; background-color: #ffffff;"> </p><p style="text-align: justify; text-wrap: wrap;">不久前，义乌爱尔眼科医院接诊了一位“特殊”老人，在家人和医护人员的陪同下，坐着轮椅被推进了二楼青白科诊室。老人有脑梗、偏瘫、高血压、肺气肿病史，年龄也高达82岁，日常生活中本就行动不便。最近一个月，儿女们发现老人对移动物体和光亮反应没有之前敏感了，看很近的东西也不清楚，让本来已经行动不便的老人更加沉默寡言了，赶紧送来医院检查。</p><p style="text-align: justify; text-wrap: wrap;"> </p></section><section style="text-align: center; justify-content: center; display: flex; flex-flow: row nowrap; margin-top: 10px; margin-bottom: 10px;"><section style="display: inline-block; width: auto; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-position: 50% 50%; background-repeat: no-repeat; background-attachment: scroll; min-width: 5%; height: auto; padding-right: 20px; padding-left: 20px; background-image: url('https://pics.app.cnyw.net/Fj_rrOy4-um4maaIOCB-8vAtsbtW'); background-size: 100% 100% !important;"><section style="justify-content: center; display: flex; flex-flow: row nowrap;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; line-height: 0; min-width: 5%; height: auto;"><section style="transform: rotateZ(45deg);"><section><section style="display: inline-block; width: 12px; height: 12px; vertical-align: top; overflow: hidden; background-color: rgba(255, 255, 255, 0); border: 1px solid #d1e7cf;"></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; height: auto; padding-right: 15px; padding-left: 15px;"><section style="text-align: justify; font-size: 20px; color: #83a761; letter-spacing: 3px;"><p style="text-wrap: wrap;"><span style="font-size: 18px;"><strong>诊断为白内障 是否能进行手术</strong></span></p></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; height: auto; z-index: auto; line-height: 0;"><section style="transform: rotateZ(45deg);"><section><section style="display: inline-block; width: 12px; height: 12px; vertical-align: top; overflow: hidden; background-color: rgba(255, 255, 255, 0); border: 1px solid #d1e7cf;"></section></section></section></section></section></section></section><section style="text-align: center; line-height: 1.9; letter-spacing: 2.2px;"><p style="text-align: justify; text-wrap: wrap;"> </p><p style="text-align: justify; text-wrap: wrap;">经过义乌爱尔眼科医院青白科主任戴襄军医生的详细检查，老人右眼多年前做过白内障手术，左眼视力仅0.08，晶体核及后囊混浊，被诊断为重度白内障。</p><p style="text-align: justify; text-wrap: wrap;"> </p><p style="text-align: justify; text-wrap: wrap;">戴主任经过术前评估，向家属介绍到：老人全身虽有其他综合性病史，但身体状况都符合手术条件，可以实施白内障超声乳化联合人工晶体植入术。但由于偏瘫在手术中无法很好地配合医生，肺气肿呼吸不畅，无法像正常患者那样睡平整，且白内障晶体核比较硬，会对手术医生的技术有很高的要求。</p><p style="text-align: justify; text-wrap: wrap;"> </p><p style="text-align: justify; text-wrap: wrap;">这样一位没有行动能力的高龄老人，手术存在诸多风险：要不要手术？他能不能配合医生？这么多并发症怎么办？“他已经行动不便了，总不能连看都不让他看见！”家人经过商量后，决定进行手术治疗。</p><p style="text-align: justify; text-wrap: wrap;"> </p></section><section style="text-align: center; justify-content: center; display: flex; flex-flow: row nowrap; margin-bottom: 10px;"><section style="display: inline-block; vertical-align: bottom; width: auto; align-self: flex-end; flex: 100 100 0%; height: auto;"><section style="text-align: right; line-height: 0; transform: translate3d(14px, 0px, 0px);"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 45px; height: auto;"><img style="vertical-align: middle; width: 100%;" src="https://pics.app.cnyw.net/FjiUqYyEpO5B2SlZJV1iQahOnXY5" /></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; height: auto; z-index: 2;"><section style="justify-content: center; display: flex; flex-flow: row nowrap; margin-top: 10px; margin-bottom: 10px;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 0%; height: auto; z-index: auto; line-height: 0; background-color: #d1e7cf;"><section><section style="display: inline-block; width: 10px; height: 10px; vertical-align: top; overflow: hidden; border-bottom-right-radius: 200px; background-color: #ffffff;"></section></section><section><section style="display: inline-block; width: 10px; height: 10px; vertical-align: top; overflow: hidden; background-color: #ffffff; border-top-right-radius: 200px;"></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; background-color: #d1e7cf; border-radius: 200px; overflow: hidden; min-width: 5%; height: auto; padding: 5px 20px; margin-right: -2px; margin-left: -2px; z-index: 2;"><section style="justify-content: center; display: flex; flex-flow: row nowrap;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; line-height: 0; min-width: 5%; height: auto;"><section style="transform: rotateZ(45deg);"><section><section style="display: inline-block; width: 12px; height: 12px; vertical-align: top; overflow: hidden; background-color: rgba(255, 255, 255, 0); border: 1px solid #fefff7;"></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; height: auto; padding-right: 15px; padding-left: 15px;"><section style="text-align: justify; font-size: 20px; color: #83a761; letter-spacing: 3px;"><p style="text-wrap: wrap;"><strong>手术顺利完成</strong></p></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; height: auto; z-index: auto; line-height: 0;"><section style="transform: rotateZ(45deg);"><section><section style="display: inline-block; width: 12px; height: 12px; vertical-align: top; overflow: hidden; background-color: rgba(255, 255, 255, 0); border: 1px solid #fefff7;"></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; flex: 0 0 0%; height: auto; align-self: center; line-height: 0; background-color: #d1e7cf;"><section><section style="display: inline-block; width: 10px; height: 10px; vertical-align: top; overflow: hidden; background-color: #ffffff; border-bottom-left-radius: 200px;"></section></section><section><section style="display: inline-block; width: 10px; height: 10px; vertical-align: top; overflow: hidden; background-color: #ffffff; border-top-left-radius: 200px;"></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; height: auto;"><section style="transform: perspective(0px); transform-style: flat;"><section style="text-align: right; line-height: 0; transform: rotateY(180deg);"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 45px; height: auto;"><img style="vertical-align: middle; width: 100%;" src="https://pics.app.cnyw.net/FjiUqYyEpO5B2SlZJV1iQahOnXY5" /></section></section></section></section></section><section style="text-align: center; line-height: 1.9; letter-spacing: 2.2px;"><p style="text-align: justify; text-wrap: wrap;"> </p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0;"><img class="rich_pages wxw-img" style="vertical-align: middle; width: 100%;" src="https://pics.app.cnyw.net/FgED8kbl9UDnYXNxztycDQz-eLfg" /></section></section><section style="text-align: center; line-height: 1.9; letter-spacing: 2.2px;"><p style="text-align: justify; text-wrap: wrap;">因为患者的特殊情况，因此医护人员需要比平时更加细心、小心、耐心地进行手术，在手术过程中不断安抚患者，并且“帮助”患者很好的配合完成手术。在医护人员的通力配合下，老人的整个手术过程非常流畅，手术很成功。术后第二天复查，其各项眼部数据正常，恢复情况良好。术后老人表示非常高兴，看东西清晰了。</p><p style="text-align: justify; text-wrap: wrap;"> </p></section><section style="text-align: center; justify-content: center; display: flex; flex-flow: row nowrap; margin-bottom: 10px;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; height: auto;"><section style="text-align: right; line-height: 0;"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 45px; height: auto;"><img style="vertical-align: middle; width: 100%;" src="https://pics.app.cnyw.net/FjiUqYyEpO5B2SlZJV1iQahOnXY5" /></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; height: auto; z-index: 2;"><section style="justify-content: center; display: flex; flex-flow: row nowrap; margin-top: 10px; margin-bottom: 10px;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 0%; height: auto; z-index: 1; line-height: 0; background-color: #ffffff;"><section><section style="display: inline-block; width: 10px; height: 10px; vertical-align: top; overflow: hidden; border-bottom-right-radius: 200px; background-color: #feffff; border-bottom: 1px solid #9cbfac; border-right: 1px solid #9cbfac;"></section></section><section><section style="display: inline-block; width: 10px; height: 10px; vertical-align: top; overflow: hidden; background-color: #feffff; border-top-right-radius: 200px; border-top: 1px solid #9cbfac; border-right: 1px solid #9cbfac;"></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; background-color: #ffffff; border-radius: 200px; overflow: hidden; min-width: 5%; height: auto; padding: 5px 20px; margin-right: -3.5px; margin-left: -3.5px; z-index: auto; border: 1px solid #9cbfac;"><section style="justify-content: center; display: flex; flex-flow: row nowrap;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; line-height: 0; min-width: 5%; height: auto;"><section style="transform: rotateZ(45deg);"><section><section style="display: inline-block; width: 12px; height: 12px; vertical-align: top; overflow: hidden; background-color: rgba(255, 255, 255, 0); border: 1px solid #d1e7cf;"></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; height: auto; padding-right: 15px; padding-left: 15px;"><section style="text-align: justify; font-size: 20px; color: #83a761; letter-spacing: 3px;"><p style="text-wrap: wrap;"><strong>白内障科普知识</strong></p></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; height: auto; z-index: auto; line-height: 0;"><section style="transform: rotateZ(45deg);"><section><section style="display: inline-block; width: 12px; height: 12px; vertical-align: top; overflow: hidden; background-color: rgba(255, 255, 255, 0); border: 1px solid #d1e7cf;"></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; flex: 0 0 0%; height: auto; align-self: center; line-height: 0; background-color: #ffffff;"><section><section style="display: inline-block; width: 10px; height: 10px; vertical-align: top; overflow: hidden; background-color: #feffff; border-bottom-left-radius: 200px; border-bottom: 1px solid #9cbfac; border-left: 1px solid #9cbfac;"></section></section><section><section style="display: inline-block; width: 10px; height: 10px; vertical-align: top; overflow: hidden; background-color: #feffff; border-top-left-radius: 200px; border-top: 1px solid #9cbfac; border-left: 1px solid #9cbfac;"></section></section></section></section></section><section style="display: inline-block; vertical-align: bottom; width: auto; align-self: flex-end; flex: 100 100 0%; height: auto;"><section style="transform: perspective(0px); transform-style: flat;"><section style="text-align: right; line-height: 0; transform: translate3d(-14px, 0px, 0px) rotateY(180deg);"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 45px; height: auto;"><img style="vertical-align: middle; width: 100%;" src="https://pics.app.cnyw.net/FjiUqYyEpO5B2SlZJV1iQahOnXY5" /></section></section></section></section></section><section style="text-align: center; line-height: 1.9; letter-spacing: 2.2px;"><p style="text-align: justify; text-wrap: wrap;"> </p><p style="text-align: justify; text-wrap: wrap;"><strong>1、糖尿病、高血压患者能不能进行白内障手术？</strong></p><p style="text-align: justify; text-wrap: wrap;"> </p><p style="text-align: justify; text-wrap: wrap;">有的患者认为自己患有高血压、糖尿病等基础疾病，就不能进行白内障手术治疗。其实白内障手术相对安全，美国糖尿病协会推荐在外科手术病房将血糖浓度控制在5.5~10.0 mmol/L，血压控制相对平稳，都可以接受白内障手术治疗。</p><p style="text-align: justify; text-wrap: wrap;"> </p><p style="text-align: justify; text-wrap: wrap;"><strong>2、白内障严重一点再手术会更好？</strong></p><p style="text-align: justify; text-wrap: wrap;"> </p><p style="text-align: justify; text-wrap: wrap;">如今已经区别于旧观点，不是等白内障成熟后再手术，而是只要影响到视觉质量就可以手术治疗，一般视力<0.5可考虑手术，一些屈光性白内障手术，可在视力更好时手术。如果把病情拖延到看不见了再手术，会加大手术难度，增加手术风险。</p><p style="text-align: justify; text-wrap: wrap;"> </p><p style="text-align: justify; text-wrap: wrap;"><strong>3、得了白内障该怎么治疗？</strong></p><p style="text-align: justify; text-wrap: wrap;"> </p><p style="text-align: justify; text-wrap: wrap;">眼药水在治疗白内障方面，是没有太大效果的。它可能在一定程度上可以控制或预防白内障的发展，但无法真正治愈白内障。手术仍然是目前治疗白内障唯一有效的方法。</p><p class="empty_paragraph"> </p></section></section><p style="display: none;"> </p> <!----></div>
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