86例儿童眼球穿通伤临床分析

Clinical analysis of 86 cases with perforating injuries of eyeball in children

目的分析86例儿童眼球穿通伤住院患儿的致伤原因及并发症情况.方法回顾性分析2012年09月-2014年04月昆明市儿童医院眼科收治的眼球穿通伤86例患儿的临床资料,对致伤物的种类、儿童年龄分布、术后并发症等资料进行统计分析.结果童眼球穿通伤在3~6岁儿童中多发,占47.67%;金属锐器是儿童眼球穿通伤的主要致伤物,占46.51%;外伤性白内障(45.35%)和瞳孔变性(33.72%)是儿童眼球穿通伤的主要并发症.结论儿童眼球穿通伤因其发病年龄的特殊性、病情的复杂性、对视功能损伤的严重性,应引起医生、家长及社会的重视,预防重于治疗.

Objective To analyze the causes and complications of 86 cases with perforating injuries of eyeball in children.Methods Various clinical parameters were analyzed on 86 children with perforating injuries of eyeball who were treated in Kunming Children 8s Hospital from September 2012 to April 2014.A statistical analysis was performned on the injury-causing instruments,children's age distribution,postoperative complications,etc.Results Perforating wounds of the eye in children are more frequently observed at the age of 3 to 6 and that accounts for 47.67%of all cases.Sharp metal is the main injury-causing instrument of perforating wounds of the eye in children,accounting for 46.51%.Tramatic cataract(45.35%)and discoria(33.72%)are the main complications of perforating wounds of the eye in children.Conclusion Due to the particularity of age of onset,complexity of pathogenetic condition and severity of vsual impairment,doctors,parents and the society should attach importantance to the perforating wounds of the eye in children.Prevention is better than cure.