儿童化学性眼外伤的治疗体会  

The experience of treating chemical eye injury in children

作　　者：周柳红[1] 黄再林 樊曦曦 

机构地区：[1]湖北省黄梅县眼科医院,435500

出　　处：《中华眼外伤职业眼病杂志》2012年第2期113-115,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨儿童化学性眼外伤的最佳治疗时机和措施。方法通过对2005年1月至2009年12月期间我院收治的19例（21眼）儿童化学性眼外伤的紧急处理及病理改变各期的积极救治，观察其转归。结果因受伤严重程度、化学物质的种类、治疗时机等的不同，治疗转归各异。视力低于0．1，角膜留有中度浑浊，且新生血管长入，睑球部分粘连者3例（3眼）；视力0．1—0．5之间，角膜留有轻度浑浊者4例（5眼）；角膜清亮，视力0．6～1．0者10例（11眼），其中2例（2眼）因年幼视力检查不合作。结论同等级烧伤中，酸性烧伤眼比碱性烧伤眼愈后好，且及时恰当得力的处理和救治，能大大减少儿童眼化学伤的并发症，并能最大限度地挽救视功能。Objective To study the best timing of treatment and measures for chemical ocular trau- ma in children. Method From January 2005 to December 2009, in our hospital 19 ease （21 eyes） with chemical ocular trauma in children accepted emergent treatment, and the out-come was observed. Results The disease outcome depended on the severity of injury, types of chemical substances, and timing of treat- ment. The visual acuity （VA） was less than 0.1 in 3 cases（3 eyes） with moderate corneal opacity, neovas-cularization, and partial symblepharon; 0.1 - 0.5 in 4 eases （5 eyes） with mild corneal opacity; 0.6 - 1.0 in 10 cases （11 eyes） with transparent cornea; The VA could not be tested because the remaining 2 patients （2 eyes） were too young to be cooperative. Conclusion The prognosis of acid burn is better than alkali burns in same level, timely and efficient processing will greatly reduce the complications of chemistry, and save the visual function in maximum.

关 键 词：眼外伤 化学性 化学物质 视功能 

分 类 号：R779.1[医药卫生—眼科]