角结膜氨水烧伤的救治  

Treatment of ammonia Eye burn

作　　者：陈惠艳[1] 郭振玲[2] 郑宝霞[2] 

机构地区：[1]开滦总医院林西医院眼科,河北唐山063103 [2]开滦总医院眼科

出　　处：《中华眼外伤职业眼病杂志》2015年第4期279-281,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察眼部氨烧伤的急救的临床效果。方法2010年1月至2013年12月角结膜氨烧伤37例（45眼），随机分为对照组17例（22眼）及观察组20例（23眼）。对照组采用眼部急救治疗，观察组采取眼部急救联合全身用药治疗。比较两组的治疗效果及并发症情况。结果观察组的炎症明显减轻者占60．87％，高于对照组的27．27％（P=0．023）；观察组角膜穿孔率为13．04％，低于对照组的40．91％（P=0．035）。观察组角膜上皮结膜化及广泛睑球粘连者，均低于对照组（P=0．004，P=0．016）。观察组的眼表上皮化时间短于对照组（P=0．035）。结论眼部氨烧伤正确的眼部急救治疗联合全身用药治疗的临床效果显著。Objective To observe the clinical efficacy of first aid and treatment of ocular ammonia burn. Methods Thirty-seven cases of ocular ammonia burn from January 2010 to December 2013 in our hospital were collected and randomly divided into two groups ： the observation group with 23 eyes of 20 cases and the control group with 22 eyes of 17 cases. Patients in control group received first aid treatment and patients in observation group received first aid combined with systemic treatment. The therapeutic effect and the complications of two groups were all observed. Results In observation group the patients whose inflammation was significantly relieved accounted for 60.87% which was higher than 27.27% in control group （P =0. 023 ） ; In observation group the corneal perforation rate was 13.04% which was lower than that in control group 40. 91% （ P = 0. 035 ）. In observation group the incidence of conjunctivalization and extensive symblepharon were lower than that in control group （P =0. 004, P =0.016）. The ocular surface epithelization time in observation group was shorter than that in control group （P = 0.035 ）. Conclusion The clinical efficacy of proper first aid and systemic treatment of ocular ammonia burn is significant.

关 键 词：眼烧伤 氨 急救 治疗 全身用药 

分 类 号：R779.13[医药卫生—眼科]