检索结果-南通市图书馆

视网膜及玻璃体视网膜手术中常规应用球后导管麻醉

在线全文

学校读者我要写书评

暂无评论

世界核心医学期刊文摘(眼科学分册) 2006年第11期 41-42页

作者： jonas j.B. Hemmerling T.M. Sauder G. 廖新华 68167 Mannheim Universitts-Augenklinik Theodor-Kutzer-Ufer 1-3 Germany Dr.

To ascertain the safety of the retrobulbar catheter technique for intraoperative local anesthesia and titratable postoperative analgesia,1,423 consecutive retinal or vitreoretinal surgeries were reviewed.Using a commercially available retrobulbar needle,a 28-gauge flexible catheter was introduced into the retrobulbar space before surgery and was removed the next morning.When pain occurred,a local anesthetic was re-injected intraoperatively or postoperatively through the catheter.None of the patients had intraoperative or postoperative complications.The retrobulbar catheter anesthesia may be a relatively safe procedure for prolonged intraoperative anesthesia and titratable postoperative analgesia in retinal and vitreoretinal surgery.

关键词：玻璃体视网膜手术球后导管木质部

玻璃体腔内注射曲安奈德治疗视网膜分支静脉阻塞

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

世界核心医学期刊文摘（眼科学分册） 2005年第6期1卷 37-38页

作者： jonas j.B. Akkoyun I. Kamppeter B. 宋虎平 Universit¨ats-Augenklinik Theodor-Kutzer-Ufer 1- 3 Mannheim 68167 Germany

Purpose. To evaluate the effect of intravitreal triamcinolone acetonide on visual acuity in branch retinal vein occlusion. Methods. The prospective comparative nonrandomized clinical interventional study included 28 patients (28 eyes) with branch retinal vein occlusion. The study group consisting of 10 consecutive patients received an intravitreal injection of 20- 25mg of triamcinolone acetonide. The control group including 18 patients did not receive an intravitreal injection. The mean follow-up was 8.7± 4.4 months. Results. In the study group, mean visual acuity increased significantly (P=0.02) from 0.27± 0.11 preoperatively to a best postoperative visual acuity of 0.45± 0.27. Visual acuity measurements determined 1 month after the injection were significantly (P=0.027) higher than baseline values. Nine (90% ) eyes gained in visual acuity, with six (60% ) eyes showing an increase in visual acuity of at least two Snellen lines. In the ischaemic subgroup, visual acuity did not change significantly (0.18± 0.18 to 0.13± 0.04; P=0.66), while, in the nonischaemic subgroup, visual acuity increased significantly (P=0.012) from the baseline value to the best postoperative measurement (0.29± 0.09 to 0.53± 0.24). In the control group, baseline visual acuity and best visual acuity during the follow-up did not vary significantly (P=0.27). Comparing the study and control groups with each other, the gain in visual acuity was significantly higher in the study group at 1 month (P=0.016) and 2 months (P=0.012) after baseline. Conclusions. Intravitreal injection of triamcinolone acetonide can increase visual acuity in patients with branch retinal vein occlusion.

关键词：腔内注射分支静脉阻塞平均视力最佳视力缺血型基线值临床干预亚组对照性

在线全文

学校读者我要写书评

暂无评论

勃起功能障碍的药物治疗

德国医学 2000年第5期17卷 289-290页

作者： Christian G.Stief Michael C.Truss Armin j.Becker Markus Kuczyk Udo jonas 宋晓东 Urologische Klinik Medizinische Hochschule HannoverD-30623 HannoverGermany 同济医科大学附属同济医院

为理解现代药物治疗勃起障碍的作用机制,首先要注意2个重要的器官作为实现勃起状态的前提:阴茎海绵体作为自主调控器官需接受由大脑传出的冲动(有时也通过脊髓反射),阴茎由萎软变膨大坚挺;另一方面,阴茎本身可看作是一活跃的、由平滑肌... 详细信息

为理解现代药物治疗勃起障碍的作用机制,首先要注意2个重要的器官作为实现勃起状态的前提:阴茎海绵体作为自主调控器官需接受由大脑传出的冲动(有时也通过脊髓反射),阴茎由萎软变膨大坚挺;另一方面,阴茎本身可看作是一活跃的、由平滑肌细胞组成的海绵状物,由自律的神经支配诱发平滑海绵状肌细胞等长舒张,海绵体膨胀变大并通过外周阻力的降低出现显著血流增加及持续充血状态。对这2个机制简单的描述可以让我们明白,为什么勃起药物的开发有针对中枢性冲动的,也有针对外周的,主要是以加强阴茎海绵体平滑肌等长舒张为目的。

关键词：阴茎勃起功能障碍药物疗法酚妥拉明前列腺素

玻璃体内注射高剂量的曲安奈德后的感染性和非感染性眼内炎

在线全文

学校读者我要写书评

暂无评论

世界核心医学期刊文摘（眼科学分册） 2006年第6期2卷 14-15页

作者： jonas j. B. Kreissig I. Spandau U. H. Harder B. 王永强(译) 不详 jonas Universitats-Augenklinik Theodor-Kut- zer-Ufer 1-3 68167 Mannheim Germany

PURPOSE: To evaluate the rate of infectious and noninfectious endophthalmitis after intravitreal injection of a high-dosage of triamcinolone acetonide. DESIGN: Clinical interventional case-series study. METHODS: The study included 1135 intravitreal injections of approximately 20 mg triamcinolone performed for 915 eyes with diabetic macular edema (n=257),exudative age-related macular degeneration (n=561),retinal vein occlusions (n=82),and other reasons. Among the injections were 220 reinjections. Triamcinolone was filtered to remove the solvent agent. Mean follow-up was 8.1± 7.4 months. RESULTS: In none of the eyes,signs of an infectious or noninfectious endophthalmitis were observed such as noncrystalline hypopyon,cellular infiltration,or amorphous opacification of the vitreous,retinal infiltration,or pain. One patient developed infectious endophthalmitis 2 days after a traumatic rupture of a previous corneoscleral cataract incision. CONCLUSIONS: The rate of infectious or noninfectious endophthalmitis after an intravitreal high-dosage triamcinolone injection may be approximately 1:1000,if the solvent agent was removed.

关键词：感染性眼内炎玻璃体内注射曲安奈德高剂量渗出性年龄相关性黄斑变性视网膜静脉阻塞糖尿病性黄斑水肿晶状体蛋白白内障手术病例研究

在线全文

学校读者我要写书评

暂无评论

天谴行动

2016年

作者： (加)乔治·乔纳斯(George jonas)

来源：南通市图书馆图书评论

学校读者我要写书评

暂无评论

戴上手套擦泪

2017年

作者： (瑞典)乔纳斯·嘉德尔

来源：南通市图书馆图书评论

学校读者我要写书评

暂无评论

慢性青光眼视盘大小的北京眼科研究

世界核心医学期刊文摘(眼科学分册) 2006年第11期 13-13页

作者： jonas j.B. 许娜 Germany Dr. Department of Ophthalmology Faculty of Clinical Medicine Mannheim University of Heidelberg

Purpose:To evaluate whether eyes with chronic glaucoma have a larger or smaller optic disk than normal eyes.Design:Population-based,cross-sectional cohort study.Methods:The study included 4439 subjects out of 5324 subjects invited to participate with an age of 40+ years.Color optic disk photographs(45°) were morphometrically examined.Results:After exclusion of aphakic eyes,pseudophakic eyes,and highly myopic eyes,data of 3989 subjects entered the statistical analysis.The mean optic disk area did not vary significantly(P >.05) between the nonglaucomatous group(2.61± 0.50 mm2) ,eyes with glaucomatous appearance of the optic disk(2.69± 0.63 mm2) ,eyes with glaucomatous optic disks and visual field defects(2.66± 0.70 mm2) ,and eyes with elevated intraocular pressure(2.63± 0.49 mm2) .Conclusions:In adult Chinese,optic disk size may not markedly differ between normal eyes and eyes with chronic glaucoma.

关键词：慢性青光眼视盘视盘面积

中国城乡成人黄斑全层裂孔患病率:北京眼病研究

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

世界核心医学期刊文摘(眼科学分册) 2006年第Z1期 17-17页

作者： jonas j.B. 邢咏新 Universitts-Augenklinik Theodor-Kutzer-Ufer 1-3 Germany Dr. 68167 Mannheim

PURPOSE: To determine the prevalence of full-thickness macular holes in the elderly Chinese population. DESIGN: Population-based,cross-sectional cohort study. METHODS: The Beijing Eye Study included 4439 subjects out of 5324 subjects invited to participate (response rate 83.4% ) aged 40 years or older. The present investigation consisted of 8653 (97.9% ) eyes of 4346 subjects for whom readable fundus photographs were available. RESULTS: Full-thickness macular holes were found in eight (0.092% ) eyes of seven (0.16% )-patients (six women). Prevalence was 0.09± 3.04% 95% confidence interval (CI): 0.03,0.16% . CONCLUSIONS: Fullthickness macular holes may be present in approximately 1.6 out of 1000 elderly Chinese in Northern China. Calculated for the entire population in China,the figure would be approximately 750,000 patients with unilateral full-thickness macular holes 650,000 (95% CI: 217,000 to 1,156,000) or bilateral full-thickness macular holes 100,000 (95% CI: 33,000 to 178,000).

关键词：黄斑视网膜裂孔眼病患病率北京中华人民共和国

在线全文

同方期刊数据库

学校读者我要写书评

暂无评论

中国成年人视力损害患病率:北京眼病研究

世界核心医学期刊文摘(眼科学分册) 2006年第Z1期 17-17页

作者： j.B. jonas 邢咏新 Germany Dr. Universitts-Augenklinik Theodor-Kutzer-Ufer 1-3 68167 Mannheim

PURPOSE: To estimate the prevalence and distribution of blindness and low vision in Northern China. DESIGN: Population-based cohort study. METHODS: The Beijing Eye Study included 4438 subjects with an age of 40+ years. Mean age was 56.2± 10.6 years (range,40 to 101 years). RESULTS: Fortythree (1.0% ) individuals had low vision (< 20/60 and ≥ 20/400 best-corrected vision),and 17 (0.4% ) individuals were blind (best-corrected visual acuity in the better-seeing eye < 20/400). Low vision/blindness were significantly associated with age (P < .001),myopic refractive error (P < .001),and level of educational background (P=.035). It was not associated with gender (P=.76) and rural vs urban area (P=.88). CONCLUSIONS: Blindness or low vision affects approximately one in 100 Chinese older than 40 years. An estimated 4.1 million Chinese older than 40 years have low vision,and an estimated 1.6 million Chinese older than 40 years are blind.

关键词：眼病低视力最佳矫正视力患病率北京