外伤性视神经病变的临床流行病学研究  

The clinical epidemiologic study of traumatic optic neuropathy.

作　　者：林慧[1] 杨士长[1] 郝燕燕[1] 

机构地区：[1]河南医科大学第二附属医院眼科,450003

出　　处：《眼外伤职业眼病杂志》2001年第3期275-276,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的　对外伤性视神经病变进行临床流行病学研究 ,探讨其发病规律。方法　对 89例 ( 95眼 )外伤性视神经病变 ,从发生率、受伤的原因、受伤情况、伤后就诊时间及视力与预后的关系、颅眶骨骨折与预后的关系等 ,进行统计学分析。结果　外伤性视神经病变发生率为 8 4%。男性青壮年发生较多 ,以骑摩托车摔伤为主要原因 ,多伴有颅脑的损伤 ,预后与有无颅眶骨骨折无明显关系 ,与接受治疗开始的时间密切相关。结论　外伤性视神经病变是较为多见的导致视力骤降或失明的眼外伤急症 ,应引起高度重视 ,争取早日治疗。尤其是对颅脑损伤的病人切勿忽视眼部情况 ,以免错过最佳治疗时期。Objective To explore the pathogenetic law of traumatic optic neuropathy through epidemiologic study.Methods To make statistic analysis of 89 cases (95 eyes) of traumatic optic neuropathy about the incidence rate,cause and condition of injury,time of seeking medical advice after injury,relationship between vision and prognosis,relationship between fracture of skull or the eye socket and prognosis.Results The incidence rate was 8.4%.The majority were young males.Motorcycle injury was the main cause,usually craniocerebral injury was accompanied.The progenosis has no evident relationship with fracture of skull or the eye socket but has close relationship with the starting time of receiving therapy.Conclusions Traumatic optic neuropathy was a common eye trauma disease,which could lead to vision sharply decline or amaurosis.We should pay much attention to it so that the patients could get earlier therapy and avoid missing best therapeutic period.

关 键 词：眼外伤 视神经病变 流行病学 

分 类 号：R779.1[医药卫生—眼科] R774.6[医药卫生—临床医学]