儿童眼外伤的临床分析  

Clinical analysis of pediatric ocular trauma

作　　者：何星宇 王茜[1] He Xingyu;Wang Qian(Department of Ophthalmology,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院眼科,重庆400010

出　　处：《中华眼外伤职业眼病杂志》2020年第2期93-98,共6页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：重庆市医学科技计划项目(201002146)。

摘　　要：目的:分析儿童眼外伤的临床特点。方法:回顾性分析重庆医科大学附属第二医院2009年4月至2019年4月住院的0~14岁儿童眼外伤164例(165只眼)的临床资料,分别就年龄、性别、受伤时间、人口分布、致伤物、外伤类型、并发症和治疗结果等进行比较。结果:儿童眼外伤发病率男童高于女童,3~8岁儿童多见,农村高于城市。眼穿孔伤最多见,常并发外伤性白内障;其次为眼挫伤和眼附属器外伤。致伤物种类繁多,器物击伤最多,包括刀具、棍棒、碎碗、玻璃及小石子等。入院后及时治疗视力均有不同程度的改善。结论:不同年龄段的儿童眼外伤防治的侧重点有所差异。伤后尽快就诊能明显改善视力预后。Objective To analyze the clinical characteristics of pediatric ocular trauma.Methods A retrospective study.Clinical data of 165 eyes of 164 cases with ocular trauma aged 0-14 years in the Second Affiliated Hospital of Chongqing Medical University from Apr.2009 to Apr.2019 were analyzed.All patients were compared according to age,sex,time of injury,population distribution,causes,types of trauma,complications and efficacy of treatment.Results The incidence of pediatric ocular trauma in boys was higher than that in girls and the incidence was higher in rural areas than that in cities.The ocular trauma was more common in children aged 3-8 years.Penetrating injury was the most common type,and traumatic cataract often occurred in ocular trauma.The following types were ocular contusion and ocular adnexal trauma.There were varieties of vulnerant,and the most injury were caused by implements,including knives,sticks,broken bowl,glass,pebble and so on.The visual acuity were improved to different extent after timely treatment.Conclusion The focus of prevention and treatment of pediatric ocular trauma in different age groups are different.Early treatment will improve the prognosis of visual acuity.

关 键 词：外伤 眼 儿童 并发症 预防 治疗 

分 类 号：R77[医药卫生—眼科]