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患者,男,67岁.因左眼进行性翼状胬肉头部已达瞳孔区内侧影响视力,而在门诊首次行平阳霉素胬肉内注射治疗.方法是用天津河北制药厂生产的平阳霉素8mg,用2ml生理盐水稀释后抽吸0.2ml,再吸2%普鲁卡因(皮试后)0.1ml共计0.3ml(含平阳霉素0.8mg).患者取仰卧位滴1%地卡因表面麻醉后,将所备稀释平阳霉素0.2ml(含平阳霉素约0.5mg)注入胬肉组织中,使之整个胬肉组织呈隆起状.注射后给消炎痛、维生素B_2、B_6、胱氨酸口服,并用氯霉素、可的松液滴眼.术后第2天患者出现畏光流泪、视力下降.在裂隙灯下见胬肉组织明显水肿,角膜上皮点状浸润,荧光素染色阳性,以为是治疗反应,继续以上药物治疗.注射后(仅注射一次平阳霉素)第10天复诊见,胬肉组织内血管闭塞呈白条状,组织变薄变白呈萎缩状态.但角
The patient, male, aged 67. Due to the left eye progressive pterygium head has reached the inner side of the pupil area of vision, and in the clinic for the first time Pingyangmycin pterygium intramuscular injection treatment method is to use Tianjin Pharmaceutical Factory Pingyang mildew Su-8mg, diluted with 2ml saline aspiration 0.2ml, and then suck 2% procaine (skin test) 0.1ml total 0.3ml (containing pingyangmycin 0.8mg. After the surface anesthesia, the prepared dilution of pingyangmycin 0.2ml (containing pingyangmycin about 0.5mg) into the pterygium tissue, so that the whole pterygium tissue is protuberant.After injection of indomethacin, vitamin B_2, B_6, Cystine orally, and with chloramphenicol, cortisone eye drops .2 days after the patient photophobia tear, visual acuity decreased .In the slit lamp see pterygium tissue obvious edema, corneal epithelial punctate infiltration, fluorescein Stained positive, that is the response to treatment, continue the above drug treatment injection (injection of pingyangmycin only) on the 10th day of referral see, pterygium vascular occlusion was white stripe, tissue thinning white was atrophic state.But angle