儿童眼外伤患者致伤因素及临床特征分析  

Analysis of the injury factors and clinical features of pediatric ocular traumatic children

作　　者：郑玲玲[1] 何丽文[1] 肖伟[1] 白莹莹 谭均莲[1] ZHENG Ling-ling;HE Li-wen;XIAO Wei;BAI Ying-ying;TAN Jun-lian(Department of Ocular Trauma ,Zhongshan Ophthalmic Center of Sun Yat-sen University,Guangzhou, Guangdong 510060,China)

机构地区：[1]中山大学中山眼科中心眼外伤科,广东广州510060

出　　处：《中国儿童保健杂志》2019年第2期226-229,共4页Chinese Journal of Child Health Care

摘　　要：目的了解儿童眼外伤患者致伤因素及临床特征,分析感染性眼内炎的影响因素。方法以2017年1-10月中山眼科中心眼外伤科急诊入院的144名眼外伤儿童为研究对象,收集患者及家庭一般资料、致伤因素及临床特征,分析感染性眼内炎的影响因素。结果儿童开放性眼外伤患者131名中并发感染性眼内炎的患儿达28名,发生率为21.4%;首次就诊时间超过8h的患儿发生眼内炎的风险增加5.379倍;留守儿童首次就诊时间超过8h的风险增加1.570倍,首次就诊时间是否超过8h为留守儿童与开放性眼外伤并发感染性眼内炎的中介效应变量(Z=2.09,P=0.036)。结论儿童眼外伤患者发生感染性眼内炎受首次就诊时间影响,留守儿童因首次就诊时间延误更值得社会关注。Objective To explore the characteristic of pediatric ocular traumatic children,in order to explore the risk factors of pediatric post-traumatic endophthalmitis. Methods Totally 144 ocular trauma children admitted by Zhongshan Ophthalmic Center from January to October 2017 were enrolled in this study.Demographic characteristic,injury factors and clinical features were recorded.And the influencing factors of post-traumatic endophthalmitis were analyzed. Results It was observed that 28(21.4%)patients out of 131 open ocular trauma developed endophthalmitis.For ocular traumatic children,primary repair above 8 hours increased the risk of endophthalmitis by 5.379 times.Left-behind children increased the risk of primary repair over 8 hours by 1.570 times.Primary repair within 8 hours played an intermediary role between leftbehind children and endophthalmitis(Z=2.09,P=0.036). Conclusion Pediatric post-traumatic endophthalmitis is associated with primary repair within 8 hours or not,and left-behind children with delayed primary repair should be given more concern.

关 键 词：儿童眼外伤 感染性眼内炎 首次就诊时间 留守儿童 

分 类 号：R726[医药卫生—儿科]