严重眼表碱灼伤急救时球结膜切开冲洗的观察  

Clinical observation of conjunctival opening incision and rinsing after serious alkali burn

作　　者：朱烈娟[1] 任钰萍[2] 金黄林 董梁 

机构地区：[1]绍兴市中医院急诊科,浙江312000 [2]绍兴市中医院眼科,浙江312000 [3]绍兴第二人民医院眼科 [4]绍兴第二人民医院超声科

出　　处：《中华眼外伤职业眼病杂志》2013年第12期916-918,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨早期球结膜切开冲洗在严重眼部碱灼伤急救中的临床效果。方法严重碱灼伤共46例（67眼），其中32例（45眼）行球结膜切开冲洗者作为治疗组，14例（22眼）行结膜囊冲洗的作为对照组，行回顾性研究。结果治疗组出院时的矫正视力≥0．5者有34眼（75．6％），对照组为9眼（40．9％），两者间差异具有统计学意义（r=7．715，P〈0．05）；治疗组有29眼（64．4％）恢复了透明角膜，对照组为8眼（36．4％），两者间差异具有统计学意义（X2=4．712，P〈0．05）。结论球结膜切开冲洗术用于严重眼部碱灼伤的急救，可以迅速降低眼表PH值，减轻或中止残碱造成的进一步损害，减轻炎症反应，减少并发症，提高视力，应该引起重视并进行合理的推广。Objective To evaluate the clinical effectiveness of the conjunctival incision and rinsing after serious alkali burn. Methods A retrospective analysis of the data of 67 eyes of 46 cases injured from alkali burn and treated in our hospital was performed. Among them, the therapeutic group had 32 cases（ 45 eyes） which were treated by eonjunctival incision and rinsing. The control group also had 14 eases（22 eyes） which were treated by continuous conjunctival sac rinsing. Results At the end of the course, there were 34 eyes （75.6%） obtained good eyesight （uncorrected visual acuity/〉0.5 ） among the therapeutic group,and 9 eyes（40.9% ） among the control group. The difference between two groups was statistically significant（x2 = 7. 715 ,P 〈 0.05 ）. There were 29 eyes（64.4% ） in which cornea restored transparency among the therapeu- tic group,and 8 eyes（36.4% ） among the other group. The difference between two groups was statistically significant （X2 = 4. 712 ,P 〈 0.05 ）. Conclusion With conjunctival incision and rinsing, the pH values of ocular surface, inflammatory response and complications can be reduced quickly, and further damage to the eye can be stopped, then better eyesight will be obtained.

关 键 词：碱灼伤 眼表 冲洗 急救 

分 类 号：R779.6[医药卫生—眼科]