喜泊芬- led-ib復(fù)合窄光譜光動力治療鮮紅斑痣0

1、喜泊芬喜泊芬LEDIB復(fù)合窄光譜復(fù)合窄光譜光動力治療鮮紅斑痣光動力治療鮮紅斑痣50例何瑞明1戴耕武21.成都長峰醫(yī)院2.四川省人民醫(yī)院郵政編碼：610023【摘要摘要】目的：探討喜泊芬注射液作為光敏劑配合目的：探討喜泊芬注射液作為光敏劑配合LEDIBLEDIB復(fù)合窄光復(fù)合窄光譜光動力治療鮮紅斑痣的臨床效果。方法譜光動力治療鮮紅斑痣的臨床效果。方法:(1)(1)做好治療前的準備做好治療前的準備工作。將喜泊芬避光保存于工作。將喜泊芬避光保存

2、于10℃10℃冰柜內(nèi)，先劃痕試驗陰性者方可注冰柜內(nèi)，先劃痕試驗陰性者方可注射光敏劑。照射前應(yīng)沿擬照射光斑區(qū)周邊按其形狀貼好膠布條射光敏劑。照射前應(yīng)沿擬照射光斑區(qū)周邊按其形狀貼好膠布條并用雙層黑布遮蓋非照射區(qū)域用雙層黑布遮蓋非照射區(qū)域要注意膠布條不要覆蓋住紅斑要注意膠布條不要覆蓋住紅斑以離以離開其邊緣開其邊緣1mm1mm為宜。照射區(qū)要盡量選擇在一個平面上為宜。照射區(qū)要盡量選擇在一個平面上同時要保持同時要保持照射區(qū)的清潔衛(wèi)生照射區(qū)的清潔衛(wèi)生

3、并剔凈遮擋的毛發(fā)等。同時還要注意保持呼吸并剔凈遮擋的毛發(fā)等。同時還要注意保持呼吸道通暢。道通暢。(2)(2)靜脈滴注光敏劑。光敏劑喜泊芬一般用量為靜脈滴注光敏劑。光敏劑喜泊芬一般用量為2.52.5mgmgkgkg體重體重用250ml250ml生理鹽水稀釋后靜脈滴注，可一邊推注光敏劑生理鹽水稀釋后靜脈滴注，可一邊推注光敏劑一邊照光。一邊照光。(3)(3)照光。照光前要按治療方案調(diào)整并測定光纖末端輸照光。照光前要按治療方案調(diào)整并測定光纖末端

4、輸出功率出功率定時在功率計上監(jiān)測。激光照射劑量一般兒童為定時在功率計上監(jiān)測。激光照射劑量一般兒童為80mWcm280mWcm2成人為成人為100mW100mWcm2cm2。照射時應(yīng)保持擴束頭與照射平面垂直。照射時應(yīng)保持擴束頭與照射平面垂直注意光注意光斑的大小斑的大小密切觀察照射區(qū)的變化情況密切觀察照射區(qū)的變化情況并結(jié)合患者年齡、膚色等并結(jié)合患者年齡、膚色等appropriate.Irradiationareatotrytochooset

5、hesametimetomaintainthecleanlinessoftheirradiatedareastickblockedhairinaplane.Alsonotethattokeeptheairwayopen.(2)intravenousinfusionofthephotosensitizer.PhotosensitizerhiparkedFengeneraldosageof5mgkgbodyweightdilutedwith

6、250mlofsalineintravenousinfusionyoucanenjoyabolusphotosensitizersideilluminated.(3)illumination.Illuminatedbefeadjustmentaccdingtothetreatmentplanthedeterminationoftheendofthefiberoutputpowerthetimeronthepowermetermoniti

7、ng.Thelaserdosegeneralfchildren80mWcm2adultof100mWcm2.Theirradiationshouldbekepttheheadperpendiculartotheirradiatedsurfaceofthebeamexperpayattentiontothesizeofthelightspotcloseobservationofthechangesoftheirradiatedareath

8、ecombinationoffactssuchaspatientagecolaccurateknowledgeoftheirradiationtime(irradiationtimeisusually35to60min).Somespecialparts(suchasnasolabialfoldsmoutheyeearchinetc.)shouldbeappropriatetoshtentheexposuretime(usuallyf2

9、0min)thosewhoarelargercanbedividedintosubpartitionsirradiation.Thechoiceoftheirradiatedareasgenerallyincompliancewiththeprincipleofpositiveafterthefirstsideiftheirradiatedsurfaceisunevenmaybeappropriatetoadjusttheillumin