渭南市第一医院眼科成功开展“玻切注气术”用“空气”为糖网患者撑起视网膜
<div class="wx_rich_media_content" id="jsWxContainer"><section data-role="outer" label="edit by 135editor" data-pm-slice="0 0 []"><section data-role="paragraph"><section data-tools="135编辑器" data-id="167082"><section style='margin: 10px auto;'><section style='width: 70px;height: 30px;border-left: 1px solid #6296ff;border-top: 1px solid #6296ff;margin-bottom: -24px;box-sizing:border-box;'><span leaf=""><br></span></section><section style='background-color: rgb(241, 249, 255); padding: 30px 10px; margin-right: 6px; margin-left: 6px; box-sizing: border-box;'><section data-autoskip="1" style='text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; color: rgb(51, 51, 51); background-color: transparent;'><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 8px;'><span style='font-size: 16px;letter-spacing: 2px;font-family: PingFangSC-Regular;'><span leaf="">近年来，渭南市第一医院眼科在多例玻切手术中联合无菌空气填充，</span><span leaf="" data-pm-slice="1 1 [" para",{"tagname":"section","attributes":{"data-role":"outer","label":"edit="" by="" 135editor","data-pm-slice":"0="" 0="" []"},"namespaceuri":"http:="" www.w3.org="" 1999="" xhtml"},"para",{"tagname":"section","attributes":{"data-role":"paragraph"},"namespaceuri":"http:="" xhtml"},"para",{"tagname":"section","attributes":{"data-tools":"135编辑器","data-id":"167082"},"namespaceuri":"http:="" xhtml"},"para",{"tagname":"section","attributes":{"style":"margin:="" 10px="" auto;"},"namespaceuri":"http:="" xhtml"},"para",{"tagname":"section","attributes":{"style":"background-color:="" #f1f9ff;padding:="" 30px="" 10px;margin:="" 6px;box-sizing:border-box;"},"namespaceuri":"http:="" xhtml"},"para",{"tagname":"section","attributes":{"data-autoskip":"1","style":"text-align:="" justify;line-height:1.75em;letter-spacing:="" 1.5px;font-size:14px;color:#333333;background-color:="" transparent;"},"namespaceuri":"http:="" xhtml"},"para",{"tagname":"p","attributes":{"style":"text-indent:="" 2.25em;line-height:="" 1.75;margin-bottom:="" 8px;display:="" block;"},"namespaceuri":"http:="" xhtml"},"node",{"tagname":"span","attributes":{"style":"font-size:="" 16px;letter-spacing:="" 2px;font-family:="" pingfangsc-regular;"},"namespaceuri":"http:="" xhtml"}]"="">这种手术方式不仅使患者受益，同时也降低了医生的工作负荷和社会负担，社会效益显著。</span></span></p><section style='text-align: center;margin-bottom: 8px;'><span class="wxart_image" wx-style='display:inline-block;height: auto !important;'></span></section><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 8px;'><span style='font-size: 16px;letter-spacing: 2px;font-family: PingFangSC-Regular;'><span leaf="">1月12日上午，眼科张胜利主任医师带领眼科团队为40岁的陈先生施行玻璃体切除（PPV）+视网膜激光光凝+玻璃体注气术，玻切手术中注入无菌空气，代替硅油填充，避免了二次取硅油手术。</span></span></p><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 8px;'><span style='font-size: 16px;letter-spacing: 2px;font-family: PingFangSC-Regular;'><span leaf="">20多天前，陈先生左眼突然出现大量黑影飘动，视力下降。</span></span></p><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 8px;'><span style='font-size: 16px;letter-spacing: 2px;font-family: PingFangSC-Regular;'><span leaf="">当地医院眼科医生检查后告诉他，是糖尿病引起的左眼眼底出血，继发新生血管性青光眼，必须尽快做手术。</span></span></p><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 8px;'><span style='font-size: 16px;letter-spacing: 2px;font-family: PingFangSC-Regular;'><span leaf="">陈先生闻之心急如焚，因为他目前左眼视力只能看见手指头，严重影响日常生活和劳作。</span></span></p><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 8px;'><span style='font-size: 16px;letter-spacing: 2px;font-family: PingFangSC-Regular;'><span leaf="">陈先生多方打听，想找个放心的医院治疗，最终来到渭南市第一医院找到张胜利主任。 </span></span></p><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 8px;'></p><section style='text-align: center;margin-bottom: 8px;'><span class="wxart_image" wx-style='display:inline-block;width: 377px;height: auto !important;'></span></section><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 8px;'><span style='font-size: 16px;letter-spacing: 2px;font-family: PingFangSC-Regular;'><span leaf="">张主任和诊疗团队仔细评估了陈先生的眼底情况，制定个性化诊疗方案：患者右眼处于增殖期，建议完善全视网膜激光光激，右眼新生血管多，随时可能发生新生血管破裂，导致玻璃体积血，视力进一步下降，必要时行玻璃体切除。左眼需行玻璃体切除术，清除积血，明确眼底，完善全视网膜激光光凝。</span></span></p><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 8px;'></p><section style='text-align: center;margin-bottom: 8px;'><span class="wxart_image" wx-style='display:inline-block;width: 374px;height: auto !important;'></span></section><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 8px;'><span style='font-size: 16px;letter-spacing: 2px;font-family: PingFangSC-Regular;'><span leaf="">在玻璃体切除后填充物质的选择上，张主任认为患者适合选择玻璃体内注气（灭菌空气），替代常规采用的硅油填充。单纯注气可以节省患者的治疗费用和治疗时间，且减少患者术后强制俯卧位的痛苦。但对玻璃体手术技术要求较高，术中需将玻璃体尽量切除干净。张主任与陈先生充分沟通后，陈先生表示理解手术风险并且接受张主任制定的手术方案。</span></span></p><p style='text-indent: 2.25em; line-height: 1.75em; margin-bottom: 8px;'><span style='font-size: 16px;letter-spacing: 2px;font-family: PingFangSC-Regular;'><span leaf=""><span textstyle=''>术中张主任与主管医生卫萍配合默契，操作精准，过程顺利。今晨得知视力有望提高的陈先生万分激动。</span></span></span></p></section></section><section style='width: 50%;height: 7px;background: linear-gradient(to right,transparent,#aed2ff,#87fef1);margin-left: auto;margin-top: -5px;box-sizing:border-box;max-width:50% !important;' data-width="50%"><span leaf=""><br></span></section></section></section><section data-tools="135编辑器" data-id="166090"><section style='margin: 10px auto;display: flex;justify-content: center;'><section><section style='width: 35px;margin-bottom: -24px;margin-left: -15px;box-sizing:border-box;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);'><span class="wxart_image" wx-style='display:inline-block;width: 100%;display: block;vertical-align: baseline;box-sizing: border-box;max-width: 100% !important;height: auto !important;'></span></section><section style='background: linear-gradient(to right,#49a7ff,#90d6ff);border-radius: 5px;padding: 8px 30px;box-sizing:border-box;'><section style='font-size: 16px;color: #ffffff;text-align: center;'><strong data-brushtype="text"><span leaf="">知识链接</span></strong></section></section></section></section></section><section data-tools="135编辑器" data-id="166081"><section style='margin: 10px auto;'><section style='display: flex; justify-content: space-between; margin-right: 35px; margin-bottom: -13px; margin-left: 35px;'><section style='width: 8px;height: 22px;background: linear-gradient(to bottom,#ffb9ac,#ff7f7c);border-radius: 25px;box-sizing:border-box;'><span leaf=""><br></span></section><section style='width: 8px;height: 22px;background: linear-gradient(to bottom,#ffb9ac,#ff7f7c);border-radius: 25px;box-sizing:border-box;'><span leaf=""><br></span></section></section><section style='background-color: #dff5ff;padding: 8px;box-sizing:border-box;'><section style='background-color: #ffffff;padding: 15px 10px;border-radius: 15px;box-sizing:border-box;'><section data-autoskip="1" style='text-align: justify; line-height: 1.75em; letter-spacing: 1.5px; color: rgb(51, 51, 51); background-color: transparent;'><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 15px;'><span style='font-size: 16px;letter-spacing: 2px;font-family:PingFangSC-Regular;'><span leaf="">目前玻璃体切除手术中眼内可填充的材料主要有无菌空气、长效气体和硅油。只要掌握好适应证，选择合适的无菌空气或长效气体，必将随着手术设备及技术的不断进步，气体填充辅助的玻璃体视网膜手术已经成为治疗视网膜疾病的主要手段。</span></span></p><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 15px;'><span style='font-size: 16px;letter-spacing: 2px;font-family:PingFangSC-Regular;'><span leaf="">目前眼内可填充气体包括空气和长效气体两大类。空气在眼内完全吸收时间为7～10 d，有效顶压时间为3～5 d，手术后俯卧3～5 d就足以达到治疗效果。临床研究表明PPV联合眼内无菌空气填充，患者视力恢复快且好，也无高眼压带来的损害；空气对眼组织无毒性，能很好地被眼内组织耐受。</span></span></p><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 15px;'><span style='font-size: 16px;letter-spacing: 2px;font-family:PingFangSC-Regular;'><span leaf="">因此只要手术前和手术中做好检查和评估，掌握好适应证，恰当地选择填充物质，必将减轻医生的工作量而最终使患者受益。</span></span></p><p style='text-indent: 2.25em; line-height: 1.75; margin-bottom: 15px;'><span style='font-size: 16px;letter-spacing: 2px;font-family:PingFangSC-Regular;'><span leaf=""><br></span></span></p></section></section></section></section></section></section></section><section data-role="paragraph" data-pm-slice="0 0 []" style='-webkit-tap-highlight-color: transparent; outline: 0px; max-width: 100%; letter-spacing: 0.544px; text-align: justify; color: rgb(34, 34, 34); font-family: -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; 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