挫伤性前房积血77例临床分析  

Clinical analysis of 77 cases of traumatic hyphema caused by contusion

作　　者：王秋玉[1] 王静[1] 

机构地区：[1]六安市人民医院眼科,安徽237005

出　　处：《安徽卫生职业技术学院学报》2006年第5期29-30,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:分析挫伤性前房积血的治疗及并发症的预防。方法:对77例挫伤性前房积血病例的治疗进行分析。结果:Ⅰ级积血1～5天吸收,Ⅱ级积血4～10天吸收,Ⅲ级积血8～15天吸收。积血吸收后视力0.05以下5例,0.06～0.116例,0.2～0.524例,0.6～0.820例,大于1.012例。结论:挫伤性前房积血的愈后与挫伤时眼前后节损伤程度、积血量多少有关。早期应用止血剂,适量使用皮质类固醇,适时行前房穿刺冲洗术可预防治疗严重并发症,利于视力恢复。Objective To analyze the treatment and prognosis ot complications of anterior chamber bleeding. Methods 77 patients with blurt anterior chamber bleeding were analyzed from January 2003 to August 2005 in our hospital. Results The cases with hyphema degree Ⅰwere obsorbed in the times from 1 to 5 days; the cases with hyphema degree Ⅱ were obsorbed in the times from 4 to 10 days; the cases with hyphema degree Ⅲ were obsorbed in the times from 8 to 15 days. After the treatment, bare, vision on leaving hospital was below 0.05 in 5 cases; bare vision on leaving hospital was width from 0.06 to 0.1 in 16 cases; bare vision on leaving hospital was width from 0.2 to 0.5 in 24 cases; bare vision on leaving hospital was width from 0.6 to 0.8 in 20 cases; bare vision on leaving hospital was above 1.0 in 12 cases. Conclusion The prognosis of hyphema is related to severity of the contusion of eyeball＇s front or back nodes and the amount of hemorrhage. The recovery of vision acuity is related to early treatment by steroids ,styptic drugs, and irrigation of anterior chamber in some cases, it is good for the prognosis of complications.

关 键 词：眼挫伤 前房积血 并发症 

分 类 号：R779.1[医药卫生—眼科]