Ganglioside treatment of optic nerve injury in 2 cases.docVIP

 PAGE \* MERGEFORMAT 7 Ganglioside treatment of optic nerve injury in 2 cases [Keywords:] optic nerve injury, ganglioside Drug treatment since 2004, our hospital started using ganglioside treatment nerve injuries, 2 cases of optic nerve injury patients lost light perception after the early use of ganglioside treatment to good effect. 1 Clinical data Example 1: female patients, aged 58, medical record number: 181318, caused a car accident left a large area of orbital soft tissue laceration, hyphema in the left eye May 16, 2007 admission. Hospitalized search: BP 140/100 mmHg , P 78 times / min, conscious, co-examination, the left eye lateral canthus was visible across a “Y”-type wounds, and branch out canthal brow at a total length of 16 cm, deep wall of the bone and soft tissue separation wall and the bone, was lacunar, blood in the wound more, and see outside the orbital wall fracture under moderate pollution. acuity: no light perception left eye, conjunctival edema, aqueous liquid within the visible red light . bilateral nasal cavity, external auditory canal visible blood. mild limited mouth opening, occlusion disorders. Orbital CT report: multiple facial bone fractures (left medial orbital wall, maxillary anterior, posterior and lateral wall, sphenoid bone and the left zygomatic arch), involving the left optic canal and paranasal sinuses with multiple (on the left maxillary sinus, ethmoid, sphenoid) or accumulation of blood within the fluid. head CT report: the left temporal bone bone line mass disruption. Diagnosis: left lateral canthus large area of soft tissue laceration, the left eye hyphema, face multiple open skull fracture, skull fracture, left eye optic nerve contusion. hospitalized in the Council anesthesia emergency line left orbital soft tissue debridement and suture lacerations, after giving nutrition nerve cells (ganglioside 20 mg + 100 ml normal saline infusion, once every 20 d), anti-infection (1.2 g + clindamycin 250 ml normal