在与口头的抗凝剂对待的 750 个病人的 Peribulbar 麻醉

• 作者: Annie Cardon Emile Calenda Marc Muraine Olivier Genevois
• 来源期刊: 国际眼科杂志：英文版
• 学科: 医学
• 关键词: ORAL ANTICOAGULANTS eye procedure HEMORRHAGE peribulbar BLOCK
• 年，卷（期）: 2014,（1）
• 页码范围: 110-113
• 页数: 4页
• 分类号: R779.6

摘要

AIM: To check the safety of continuation of oral anticoagulants in ophthalmic procedures requiring a peribulbar anesthesia. ·METHODS: A prospective case control study included 750 patients with oral anticoagulants in group A and 750 patients who had never been treated with oral anticoagulant in group B. Hemorrhages were graded as follows: 1) spot ecchymosis of eyelid and or subconjunctival hemorrhage; 2) eyelid ecchymosis involving half of the lid surface area; 3) eyelid ecchymosis all around the eye,no increase in intraocular pressure; 4) retrobulbar hemorrhage with increased intraocular pressure. ·RESULTS: In group A,grade 1 was observed in 13 patients(1.74%) and grade 2 in 2 patients(0.26%). In group B,grade 1 was observed in 12 patients(1.6%) and grade 2 was absent. No 3 or 4 hemorrhage grade was encountered in both groups. There was not significant difference in grade 1 hemorrhage between both groups(P =0.21). ·CONCLUSION: Oral anticoagulants were not associated with a significant increase in potentially sight-threatening local anesthetic complications.