眼爆炸伤114例临床分析  

Clinical analysis on 114 cases of explosion eye injury

作　　者：王志强[1] 王春芳[2] 杨红霞 

机构地区：[1]山西省眼科医院,太原030002 [2]山西医科大学第一附属医院眼科 [3]晋中市第一人民医院眼科

出　　处：《中华眼外伤职业眼病杂志》2012年第12期923-925,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨眼爆炸伤的流行病学状况，发生原因及影响视力的危险因素。方法对山西医科大学第一、二医院眼科2005年1月至2010年1月住院的眼爆炸伤114例（196眼）资料作一回顾性研究。结果男性眼爆炸伤患者明显多于女性者，31—40岁是眼爆炸伤高发年龄段。就诊时以角膜、巩膜穿孔伤、外伤性白内障、眼内异物和视神经损伤为多。治疗后27例（29眼）行眼内容摘除术，占23．6％。双眼盲35．4％（58／164），双眼致残率43．9％（72／164）。单眼致盲率46．9％（92／196），单眼致残率41．3％（81／196）。结论眼爆炸伤是一种严重且复杂的眼外伤，致盲及致残率高，雷管及炸药爆炸是导致工人及青壮年眼爆炸伤的主要原因，加强劳动保护是目前防止眼爆炸伤的首要任务。Objective To investigate the incidence epidemiological characteristics of eye explosion injury, analyze the leading cause of eye explosion and focus on risk cause of visual reduction and the methods of prevention. Methods：All medical records of inpatients in the period from January 2005 to January 2010 in the Shanxi Medical University Affiliated I st and 2nd Hospital were retrospectively studied. Results：There was a significant difference between the male and female. The majority of all injury were men . Most were eorneosclera perforating injury, traumatic cataract, intraoeular foreign body and optic nerve injury. After tre- ament, 27 patients （29 eyes） underwent eviseration of eyeball. Blind eyes 35.4% （58/164）, eyes disability 43.9% （ 72/164 ）, monocullar blindness rate is 46.9% （ 92/196 ）, monocular disability rate is 41.3% （ 81/ 196）. Conclnsions：Explosion of dynamite was the most common cause ultimately leading to visual injury in working adults and the youth. The most leading cause of eye explosion injury was explode of the detonator and dynamite. The most important should be given to the strengthening of labour protection in developing countries.

关 键 词：眼外伤 眼爆炸伤 临床分析 

分 类 号：R779.1[医药卫生—眼科]