制砖机所致眼球穿孔伤相关因素分析  

Analysis on the related factors of ocular penetrating injury caused by brick moulding machine

作　　者：侯立亭 陈少华 胡红霞 Hou Liting Chen Shaohua Hu Hongxia(Kaifeng Eye Hospital, Kaifeng 475000, Chin)

机构地区：[1]开封眼病医院眼底病外科,河南475000

出　　处：《中华眼外伤职业眼病杂志》2017年第2期105-107,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的分析制砖机所致眼球穿孔伤的相关因素。方法回顾性分析我院收治的15例制砖机所致的眼球穿孔伤的病史资料，对其性别、年龄、受伤环境、致伤原因、外伤性质、相应治疗、并发症的发生及视力改善等进行分析，并到制砖厂实地调查。结果15例中男8例，女7例。年龄16～45岁。其中35岁以下者10例（66．67％）。职业：均为农民工。受伤环境均为制砖厂，均为制砖机上断裂钢丝崩伤，受伤眼均发生不同程度的感染性眼内炎。15例中保守治疗1例，清创缝合加激光光凝3例，清创缝合加冷凝3例，玻璃体切除术4例，白内障手术联合人工晶状体植入3例，转上级医院1例。入院时视力≥0．1者6例，占40．00％，出院时视力≥0．1者13例，占86．67％，视力达1．0者7例，占46．67％。结论制砖机所致眼球穿孔伤有其自身的特点，且均发生感染性眼内炎，应引起足够重视并制定预防措施。Objective To analyse the related factors of ocular penetrating injury eaused by brick moulding machine. Methods Retrospectively analyzed the data of 15 eases ocular penetrating injury caused brick moulding machine in our hospital. Related factors such as sex, age, injured environment, injury cause, injured quality, eorresponding treatment, complications and the improvement of visual acuity were analyzed,and the field in brick factory was investigated. Results Fifteen eases included 8 male and 7 female, and the age range was 16-45 years, 10 eases （66.67%） were under 35 years old. All patients were peasant laborers who injured in brick factory caused by steel wire broken from the brick moulding machine. These 15 eases of perforating injury of eyeball all eomplieated the infectious endophthalmitis of degree. Among 15 cases, 1 case received conservative treatment, debridement and suturing combined with the laser photocoagulation was performed in 3 cases, debridement and suturing combined with cryocoagolation in 3 cases, vitrectomy surgery in 4 cases, the traumatic cataract surgery and intraocular lens implantation in 3 cases and I case was transfered transfered to superior hospital. Before treatment the vision ≥ 0.1 was in 6 cases （40.00%）, after treatment there were 13 cases （86.67%） with vision≥0.1 and 7 cases （46.67%） with vision of 1. 0. Conclusion Ocular penetrating injury caused by brick moulding machine has its own characteristics, all patients complicat infectious endophthalmitis. The enough attention must be paid and the prevention methods must be for mulated.

关 键 词：眼球穿孔伤 制砖机 特点 视力 眼内炎 感染性 

分 类 号：R779.1[医药卫生—眼科]