新疆石河子地区成年眼外伤住院患者分析  

Analysis of adults with ocular trauma in Xinjiang Shihezi Area

作　　者：张培莉 杨炜[1] 孟新丹 李军[1] 张芳 Zhang Peili;Yang Wei;Meng Xindan;Li Jun;Zhang Fang(Department of Ophthalmology,The First Affiliated Hospital,School of Medicine,Shihezi University,Shihezi,Xinjiang 832000,China)

机构地区：[1]新疆石河子大学医学院第一附属医院眼科,832000

出　　处：《中华眼外伤职业眼病杂志》2019年第4期263-269,共7页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的分析新疆石河子地区成年眼外伤住院患者的临床特征及预后影响因素。方法对2007年1月至2017年12月的1532例(1607眼)成年眼外伤的资料进行回顾性研究。结果眼外伤患者以青年男性、汉族为主;多在夏季户外发生;致伤原因多为钝器伤;类型以挫伤和穿孔伤为主;并发症以外伤性前房积血等多见。与眼外伤视力预后差的相关因素:年龄在38~47岁之间有564例,占36.8%;开放性眼外伤546例,占35.6%;外伤性白内障190例,占12.4%;晶状体脱位48例,占3.1%;玻璃体积血101例,占6.6%;视网膜脱离35例,占2.3%;眼球摘除术后22例,占1.4%。结论新疆石河子地区成年眼外伤住院患者以汉族男性为主,多发生在户外由钝器引起,可分为挫伤和穿孔伤的临床特征。眼外伤致盲率极高,需提供多种方式预防眼外伤的发生。Objective To analyze the clinical characteristics and prognosis factors of adults with ocular trauma in Xinjiang Shihezi Area. Methods The data of 1 607 eyes of 1 532 adults with ocular trauma from Jan.2007 to Dec.2017 were analyed retrospectively. Results The ocular trauma patients were mainly young maled of Han nationality.The ocular trauma occurred most often outdoor in summer.The most common causes was blunt instruments, especially contusion and perforation.The main complication was traumatic hyphema. The factors correlate with bad vision prognosis of ocular trauma were: age from 38 to 47 years in 564 cases(36.8%);open globe injury in 546 cases (35.6%);traumatic cataract in 190 cases (12.4%);lens dislocation in 48 cases (3.1%);vitreous hemorrhage in 101 cases (6.6%);retinal detachment in 35 cases (2.3%)and enucleation of eyeball in 22 cases (1.4%). Conclusion The clinical characteristics of adults with ocular trauma in Xinjiang Shihezi Area include mainly Han males, mostly caused by blunt instruments outdoors. There are mainly two types of contusion and perforation. The blindness rate of ocular trauma is high, so it is indispensable to take many measures to avoid ocular trauma as much as possible.

关 键 词：外伤 眼 成年 因素 影响 视力 

分 类 号：R779.1[医药卫生—眼科]