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Compound Anisodine and hyperbaric oxygen therapy clinical observation of 47 cases of retinal contusion

isfactorye ~ mealoutcome. 【Keywords] Cervicaldiscprotrusion; Disscctomy; Internalfixation our hospital since July 2003 September 2005 were treated 21 patients with cervical disc herniation, have adopted plate fixation anterior decompression surgery, the effect is very satisfied with their surgical treatment is Its effect is as follows. Clinical data 1 1.1 General information: The group of 21 cases, including 12 males and 9 females. Age of 41 to 59 years, mean 46.4 years old. 1.1.1 symptoms: (1) one or both sides of the upper limb soreness, numbness, fingers holding material instability, fatigue in 9 cases, accounting for 42.9%; (2) one or both sides of the lower limb weakness, fatigue, numbness ,[link widoczny dla zalogowanych], ataxia in 5 cases, 23.8%; (3) one or both sides of the upper and lower limbs weakness, fatigue, holding things and walking instability in 7 cases, 33.3%. 1.1.2 Signs: Patients often have no symptoms or only mild symptoms. The group of 21 patients, 5 were no obvious signs of different degrees of more than 16 cases of signs: (1) one or both Hoffman and positive signs in 4 cases, 19.0%; (2) one or both upper limbs and ( or) lower limb pain decreased in 12 cases. 57.1%. 1.13 imaging: the patients were admitted to hospital after cervical X-ray and MR / examination. X-ray film showed 17 cases of cervical lordosis appeared to decrease or disappear, 4 cases without exception. MR / visible disc-shaped pellets, blocks or pieces back broke into the spinal canal. 13 cases involved a single segment, which C'48 cases, C ¨ 5 cases. 8 cases involved multiple segments, including C6 cases, C are used endotracheal intubation. Patients were supine, place the neck extension position, exposed by anterior vertebral approach in front of the C-arm positioning under fluoroscopic X-ray machine. 1.2.1 for a single segmental involvement were treated with anterior decompression and removal of circular saw windows protruded disc. parallel interbody fusion and plate fixation. revealed the need to remove the upper and lower disc 1 vertebral body, with the removal of herniated disc diamond ring upper vertebral body lower 1 / 3 and the upper vertebrae of 1,3,[link widoczny dla zalogowanych], and then a gun-type clamp along the vertebral lamina circular decompression line. According to the size of the vacuum window of the circular saw with a bigger autologous ilium, traction cervical intervertebral disc implant to bone. Select the appropriate length of the plate in front of the fixation. 1.2.2 for multi-segmental involvement in patients with anterior cervical corpectomy decompression, autogenous iliac bone explants bone and anterior plate fixation. C-arm X-ray machine positioning perspective vertebra retractor placed, adjust the tension, the cervical lordosis and disc height restored: In this state,[link widoczny dla zalogowanych], the first removal of the upper and lower vertebral bodies more involvement of the disc, and then the three joint rongeur this long vertebral body along both sides of the medial margin of the neck in addition to the posterior most edge bite; then with a long beak-like impulse rongeur the posterior edge together with the remaining disc,[link widoczny dla zalogowanych], osteophytes, and other things caused by thorough curettage or biting pressure in addition, the decompression segments together into a rectangular bone trough. The group 3 patients resection of the posterior longitudinal ligament. from the body of the three cortical iliac bone graft to and retinal function recovery of normal cell metabolism, and fundamentally ease caused by lesions of the vicious cycle of ischemia and hypoxia / 41. and hyperbaric oxygen also promote activation of phagocytic cell activity and the role of fibrinolytic enzyme, is conducive to bleeding absorption and tissue repair after injury. In summary, the compound anisodine injection has to restore and maintain normal function of blood vessels. hyperbaric oxygen can increase oxygen content, quickly correcting the microcirculation,[link widoczny dla zalogowanych], which limits hemorrhage and reduce the pathological change, their combination play a complementary effect. for the treatment of retinal contusion has significant effect on the improvement of visual acuity and fundus were better than the control group. and no clear adverse effects, 1 species effective for the treatment of retinal contusion of the therapy, effective, should be widely applied.
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