挫伤性前房积血214例临床分析  

Clinical analysis of 214 cases of contusive hyphema

作　　者：安喜艳[1] 苏九姝[1] 高军[1] 

机构地区：[1]天津市第三中心医院眼科,天津市300170

出　　处：《中华眼外伤职业眼病杂志》2016年第2期126-128,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨眼球挫伤所致前房积血的致伤原因、并发症、治疗方法及治疗效果。方法对我院诊治的214例（214眼）挫伤性前房积血的临床资料进行回顾性分析。结果本组214例中，主要致伤原因为拳击及脚踢伤，其中Ⅰ级和Ⅱ级外伤性前房积血无继发性出血或继发性青光眼者治疗效果较好。Ⅲ级外伤性前房积血、继发性青光眼以及合并眼后段损伤者治疗效果较差。结论挫伤性前房积血早期合理治疗可获得良好治疗效果，并应针对并发症进行治疗。Objective To investigate the causes, complications, treatment and effects of hyphema caused by ocular blunt trauma. Methods Two hundred and fourteen eyes of 214 patients with hyphema caused by ocular blunt trauma were analyzed. Results In 214 patients, the major injury was caused by fist and kicking, and the effect of treatment of tramnatic hyphema in the grade Ⅰ and Ⅱ without secondary hemorrhage or secondary glaucoma was optimistic. The result of traumatic hyphema in grade Ⅲ, with secondary glaucoma and complicated posterior segment ocular injury was not good. Conclusion Early reasonable treatment can achieve good therapeutic effect in contusive hyphema, and attention should be paid to the treatment for complications.

关 键 词：前房积血 挫伤性 眼外伤 并发症 

分 类 号：R779.1[医药卫生—眼科]