Eye hematoma
Hematoma is a very common eye acupuncture accidents. Song Dynasty ” acupoints acupuncture bronze figure by Volume III ” , referring bearing weep ” needles , black color makes your head ” , quite close to the eye hematoma syndromes. Public reports of such accidents is not much, probably because it generally does not affect vision or cause other adverse consequences of it . As the eye hematoma prone , not only affects the eyelids open and close the bleeding phase , patients in stasis impede the absorption of appearance . Also reported due to the glare of the Ministry of improper bleeding hole , causing instant blindness . It is worthy of attention.
[ Reason ] injury
First, the points Reason: years of clinical observation, eye area points more than the eye can lead to hematoma . Among them, the most prone to eye point . The cave has a shallow inner canthus move on and tackle the vein , artery and vein under , above the eye deep vein trunk. Whether deep stab , stab shallow , slightly not careful , you can bleed. Followed bearing weep hole , cloth suborbital vein branches . Cuanzhu point , the amount of artery and vein distribution , this point is not easy shallow stab bleeding , deep puncture can cause severe bleeding, because the needle hole punctured blood vessels that can cause eye swelling outstanding.
After the ball hole , there suborbital deep vein , usually easy bleeding . Even if bleeding is lighter than the eye point . But with the hole for injection, such as improper operation , easy to cause eye hematoma , and difficult to absorb. It should be noted .
Second, the operational reasons : use thicker needles ( such as with a No. 26 or 28 needles ) , causing bleeding around the eye is a very important reason . And deep stab improper bleeding often particularly serious performance too much too fast in the needle , improper use of lift and thrust or twisting of the law.
In 1974, the center had treated case of retinitis in patients with deep puncture needle 28 Cuanzhu point , from supraorbital piercing hole about 1 inch , to get a better sense of qi , he made a slight lift and thrust to explore . Needle 20min, during this period did not use any technique, patients have abnormal eye nor sleep . When the needle just one removed, the patient complained of a sudden , right upper eyelid as heavy as the gate can not open. I saw around the right eye has significant hematoma on orbital recess completely disappear. Namely with deep puncture needle is closely related. After a few days on the eye bleeding spots just completely disappeared .
Clinical manifestations
Mild : Department of superficial vascular puncture or arteriovenous smaller branches due. After multi- needle injection , pinhole there is bleeding , then the local no exception. Tens of minutes to several hours later, around the point area gradually livid bruises . Petechiae area is generally small, small , such as soybeans , as big as beans, more than a week to subside.
Severe : Deep to damage blood vessels and arteriovenous more important due to the eye . After taking the needle often occur within a few seconds to half a minute . Rapid swelling of the eyelid closure bleeding side , unable to open. From the second day , the swelling may gradually subside. According to the amount of bleeding purple bruising how much can be spread throughout the eyelid , or all of the area around the eyes , a half before it can be dissipated from Shi Yuri , generally does not affect the functionality and visual eye area.
[ Prevention ]
First, the choice of needle : In Jingming , bearing weep , Cuanzhu , after the ball , four white and fish as well as other points on the waist Jingming , such as through the outer Shangming acupuncture , preferably with the 30th or 32 needles .
Second, note the following: When the needle points above are advised by cutting the skin with a fingernail quickly pierce the needle point . To stab deep, should be slow to send the needle . More loose tissue around the eye , the needle is relatively easy , as felt tip encounter resistance ( even a small resistance ) or patients Hutong , should quit slightly , slightly change direction , re- piercing . Get gas until a satisfactory sense so far. If gas was obvious sense , nor put plug Twist , and the needle should be stopped gas . Eye hole to get a sense of gas diffusion soreness throughout the eye. During the needle , the needle is generally not , as a result of treatment needs , to strengthen the sense pin , only for a slight twisting, but can not lift and thrust .
When the needle , the needle should be slow retreat . Generally segmented back needle as well, that after a brief pause a while back , and then continue back outside . After the needle has a priori look pinhole bleeding , then dry with a sterile cotton ball pressed half a minute. Such as pinholes blood , should be extended press time . Experience has shown that the degree of extension of the pressing time can reduce eye bleeding.
On the needle and needle injection method in the eye point , some advocate the use of homeopathy and homeopathic needle needle injection method. The so-called homeopathic needle , is the sense of a little change in the event of conflict with the tip angle , to avoid conflict with feeling. Sense because most conflict situations , as the tip touches the small blood vessels . Homeopathic needle injection , fast , slow homeopathic pulled after the first refers to needle injection , while his left hand holding cotton balls should be pressed , both more timely manner hemostasis , nor prone to stretching . Aims to reduce bleeding followed by needle injection , the needle the small vessels not punctured puncture premise , the needle is rotated around the same level , it is impossible to pierce the vessels again , and thus a simple twisting no significant bleeding effects . However , the lower lift and thrust , will probably re- touch the blood vessels, it is punctured, easily lead to bleeding. Therefore acupuncture points eye area , to minimize bleeding, the needle should be used homeopathy , light twirling , not to mention the plug, homeopathy acupuncture needle injection comprehensive approach .
[ Approach ]
First, mild : can not handle local be moist heat , promote bruising subside.
Second, severe : bleeding period , with gauze dipped in distilled water or cold water cold local 15 ~ 20min, conducive to stop the bleeding. Blood only after that instruct patient with a hot towel compress eye area , every 20min, 2 to 3 times a day . Usually , you can put on sterilized goggles, eyelid swelling after removing goggles, to compress once daily until the bruising disappear completely.
Eye hematoma can still try dismount treatment: that is to take seven powder 2g, chlortetracycline eye ointment 1 ( other antibiotic ointment can ) , the two drugs on sterile gauze dressing and mix thoroughly , patient eyes like, then the drug deposited outside the dressing eye and tape securely . The number of feed 2 to 3 days to replace a second , the light is generally 3 to 5 days swollen Xiaoyusan .