亚热带山岳丛林眼战伤诊治的回顾与思考  

Review of diagnosis and treatment of eye wounds in subtropical mountains and bush zone

作　　者：耿美香[1] 尹沂[1] 徐春光[1] 翟军印[1] 冯应琼[1] 王桂芳[1] 

机构地区：[1]解放军第五十九中心医院眼科,开远661600

出　　处：《中华创伤杂志》2009年第8期757-761,共5页Chinese Journal of Trauma

摘　　要：目的探索亚热带山岳丛林地区眼战伤的特点及规律，提高未来战争中眼战伤的救治成功率，减少伤残率。方法回顾分析1979年及1984年两次云南方向对越自卫还击作战期间解放军第五十九中心医院眼战伤的资料，总结其特点。结果（1）单眼伤占81．7％，双眼伤占18．2％，左右眼无明显差异；（2）致伤因素以弹片伤为主，占82．2％；（3）眼战伤合并全身各部位伤高达75．6％；（4）眼球伤最多，其中开放性眼外伤占45．1％。结论及时正确的专科处置可以有效地降低眼战伤的致盲率。Objective To study the features of eye wounds in subtropical mountain and bush zone so as to improve success rate of medical therapy and decrease disability rate for eye wounds. Methods The clinical data of eye wounds caused by Selfdefensc War against Vietnam from No. 59 Hospital of PLA were analyzed. Results Monocular injuries accounted for 81.7% of eye wounds, with no statistical difference in the injuries between left eye and right eye. Eye wounds caused by shrapnel accounted for 82.2% , and it was the main injury factor. The rate of eye injuries complicated with other injuries of the body was up to 75.6%. Globe wounds were the most commonly seen, with open globe wound accounting for 45.1%. Conclusion Timely and correct ophthalmological treatment can effectively reduce the blinding rate.

关 键 词：创伤和损伤 眼损伤 战争 亚热带 

分 类 号：R82[医药卫生—临床医学]