Dacryocystorhinostomy Clinical analysis of bleeding.docVIP

 PAGE \* MERGEFORMAT 13 Dacryocystorhinostomy Clinical analysis of bleeding Keywords: dacryocystorhinostomy bleeding Chronic dacryocystitis is the eye of the common diseases, at present for dacryocystorhinostomy for chronic dacryocystitis is the most effective method. However, there is dacryocystorhinostomy intraoperative and early postoperative bleeding, late anastomotic obstruction, resulting in recurrent dacryocystitis. Now our hospital since June 2003 to June 2007 was hospitalized for 89 cases of dacryocystorhinostomy (89), surgery in 18 cases of bleeding occurred after the analysis of the causes, the report is as follows. A clinical data 1.1 General Information 89 cases of male patients with 31 cases (31), female 58 cases (58); aged 29 to 57 years old, the sick for 7 months to 6 years, the clinical manifestations of the eyes tears overflow, overflow pus, oppression lacrimal sac area discharge purulent secretions seen tears Road, rinse unreasonable, and has sticky discharge purulent discharge. Surgery should not be admitted to exclude a major disease in female patients to avoid the menstrual period of operation, check the nasal cavity without serious nasal atrophy, nasal septum and nasal diseases such as bending. Have high blood pressure, diabetes and other medical treatment to stable from after surgery, out promoting blood circulation drugsgt; 15d. 1.2 Treatment Preoperative Baptist, 1% tetracaine with epinephrine 1:1000 articles of cotton, from the ipsilateral anterior nostril into the filling to the middle meatus. 0.5h routine preoperative intramuscular injection of hemocoagulase pin 1 KU, phenobarbital-pin 0.1, routine disinfection, shop towels, as ethmoidal nerve and infraorbital nerve block anesthesia, lacrimal sac area of subcutaneous infiltration anesthesia. Inner canthal distance of about 3mm nasal Department, within the canthal ligament as a vertex to the bottom of the skin incision along the dire