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1、眼外伤429例临床分析作者:关新辉,具尔提?哈德尔单位:新疆医科大学1第五附属医院眼科,2第一附属医院眼科,新疆乌鲁木齐【摘要】目的:调杏眼外伤的发病情况及临床疗效,探讨其防治措施。方法:对2002年1月〜2006年2月新掘医科大学第一附属医院收治的429例眼外伤患者的临床资料进行冋顾性分析。结果:429例眼外伤中,男女之比为5.40:1,左眼占47%,右眼占44%,双眼占9%。眼外伤多发于21〜40岁。工人及农民眼外伤者203例,占47.3%。工作场所受伤者占29.60%。暴力性眼外伤占21.40%,车祸外伤占9.21%。住院
2、眼外伤患者以开放性眼球损伤、眼挫伤及眼附属器挫伤为主。眼部损伤以眼脸挫伤裂伤、角巩膜裂伤、前房积血、外伤性白内障较常见。治疗后致盲率下降了13.4%。结论:眼外伤是造成失明的主耍原因乙一。加强职业活动中的安全防护,强调规范操作可人人降低职业活动中眼外伤的发生,避免不必要的视功能损害。【关键词】眼外伤;致伤因素;预防Aclinicalanalysison429admissioncasesofoculartraumaGUANXinhui,Jureti•Hadere(DepartmentofOphthalmology,Fif
3、thAffiliatedHospital,XinjiangMedicalUniversity,Ummqi830011,China)Abstract:Objective:Toinvestigatetheclinicalcharacteristicsofoculartrauma,evaluatetherapeuticefficiencyandstudypreventivemeasures・Methods:Clinicalanalysisof429admissioncases(467eyes)withoculartraumafromJ
4、anuary2002toFebruary2006.Results:In429admissioncases,themaletofemaleratiowas5.40to1•Fortysevenpercentofinjuriesoccurredtothelefteye,44%totheright,and9%bilaterally.Theaverageagewas46.8yearsandapeakageofpresentationbetween21and40years・Mostpatients(47.3%)wereworkersandf
5、armers.Workrelatedocularinjuriesaccountedfor39.60%ofallocularinjuries・Twentyonepercentofallocularinjurieswerecausedbyassaultandfight,and9.21%wererelatedtomotorvehicleaccident.Thethreeleadingtypesofhospitalizedocularinjurieswereopenwoundofeyeball;contusionsofeyeball;a
6、ndcontusionsofocularadnexa・Thecommonestocularinjuryproblemswereabrasionandlacerationofeyelid,corneal/scleroticlaceration,hyphemaandcataract.Aftertreatmenttherateofblindnessdecreasedby13.4%・Conclusions:Traumaisanimportantcauseofocularmorbidity.Generalsafetyprecautions
7、andbehaviormodificationareindicated・Wesuggestthatpreventiveeducationalmeasuresbeinstigatedatworkplacestoreducetheincidenceofoculartraumaticemergency,especiallysevereocularinjury.Properdisposalcanreducetherateofblindness・Keywords:oculartrauma;traumaticfactor;preventio
8、n眼外伤是临床常见眼病,其临床表现多样,并发症多而复杂,是儿童和青壮年单眼失明的主要原因。眼外伤的防治是眼科防盲治盲的亜要课题。为进一步了解新翳地区眼外伤发病情况,木研究对新疆医科大学第一附属I矢院2002年1月〜2006年2月收治的429例眼外伤患者的临床资料