开放性眼外伤临床治疗分析  

Clinical treatment analysis of open-ocular trauma

作　　者：李仕忠[1] 温淑芬 饶小英[1] 

机构地区：[1]广东省东莞市黄江医院眼科,广东东莞523750

出　　处：《中国当代医药》2013年第18期166-167,共2页China Modern Medicine

摘　　要：目的探讨开放性眼外伤易发人群、致伤原因、临床治疗方式及对视力预后的影响因素。方法对本院2010年1月～2013年1月300例开放性眼外伤患者的临床资料进行回顾性分析,统计患者的一般资料、受伤环境、致伤原因。结果开放性眼外伤患者就诊时间越短,发生眼内感染概率越低;300例患者发生并发症144例,其中以外伤性白内障最为常见;患者治疗后视力≥0.05者146例,视力<0.05者154例,单眼致盲率为56.0%。结论开放性眼外伤致伤原因以爆炸伤、车祸伤、锐器伤最为常见,影响其视力预后的因素主要是致伤原因、是否在伤后24h内给予处理和是否进行手术治疗。Objective To investigate the susceptible population of open-ocular trauma,and its cause,treatment method and influencing factor on visual prognosis. Methods The clinical data of 300 cases of patients with open-ocular trauma,who were selected from our hospital during January 2010 to January 2013,were retrospectively analyzed.The general information,injury environment and cause were counted. Results The earlier patients with open-ocular trauma consulted,the lower the incidence rate of intraocular infection was.144 cases in 300 cases occurred complication,mainly with traumatic cataract.The eyesight of 146 cases was greater than or equal to 0.05 after treatment.Eyesight was less than 0.05 in 154 cases,and monocular blindness rate was 56.0%.Conclusion The causes of open-ocular trauma are most common in explosive injury,traffic accidents injury and sharp injury.The main factors affecting prognosis of visual acuity are cause of injury,whether to give treatment and operation within 24 hours after injury.

关 键 词：开放性眼外伤 视力预后 临床治疗 

分 类 号：R779.1[医药卫生—眼科]