百草枯致眼烧伤的临床特点及治疗体会  

The clinical characteristics and treatment of paraquat-induced ocular burns

作　　者：刘建伟[1] 邓爱军[1] 王杰[1] 贺圣光[1] 王维宏[1] 

机构地区：[1]潍坊医学院附属医院眼科,潍坊261031

出　　处：《中国实用眼科杂志》2012年第3期338-339,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨百草枯致眼烧伤的临床特点及治疗方法。方法对2008年6月至2010年5月的百草枯致眼烧伤患者5例，观察其临床表现，并给予急症冲洗，抗生素滴眼液、自家血清、肝素滴眼液及重组牛碱性成纤维细胞生长因子眼用凝胶点眼，撕除假膜及羊膜移植治疗，观察治疗效果。结果5例百草枯烧伤患者均出现特征性的结膜假膜，假膜撕除3～4次后逐渐消失，治疗二周左右，患者角膜上皮完整，结膜面未见假膜。结论百草枯致眼烧伤是一种以假膜形成为特征的烧伤，常规眼烧伤治疗结合撕除假膜、羊膜移植能很好的治疗本病。Objective To evaluate the chmcal characteristics and treatment ot patients witn para-quat-induced ocular burns. Methods From June 2008 to Seprember 2010, 5 paraquat-induced eye burn patients were admitted in our hospital. The patients were treated with fist aid irrigation, eyedrops of heparin, antibiotics and own serum, ointment of rb-bFGF. Pseudomembrane of eonjunctiva was separated. Amniotic membrane transplantation was given to a serious patient. Results All 5 pa- tients had clinical manifestation of conjunctiva Pseudomembrane. Pseudomembrane disappeared after separated for 3 to 4 times. Cornea epitheliums recovered completely and no conjunctiva Pseudomem- brane were found after two weeks. Conclusions Paraquat-induced ocular burn patients have clinical characteristics of conjunctiva Pseudomembrane formation. Patients will recover well after a conventional therapy, Pseudornembrane separating and Amniotic membrane transplantation.

关 键 词：百草枯 眼烧伤 假膜 

分 类 号：R779.1[医药卫生—眼科]