尼日利亚阿巴卡利基地区的眼外伤情况(英文)

Eye injuries at Abakaliki,Nigeria

目的:回顾尼日利亚阿巴卡利基地区眼外伤疾病的原因及视力结果。方法:阿巴卡利基联邦医疗中心事故急诊科或眼科收治的患者中,凡眼部损伤持续时间在18mo以上者(2000-06/2001-11),其治疗记录均得到回顾分析。结果:研究期间共108例眼外伤患者(男60,女48)。致伤活动包括:打斗/袭击30例(27.2%),玩耍/运动22例(20.4%,),农业活动18例(16.7%),家务劳动16例(14.8%)。致伤物体主要有棍棒、石头、拳头和公路交通事故相关物体。只有9例患者在伤后24h内前往医院接受治疗。治疗结果钝器伤患者视力最佳,刺伤患者视力最差。并发症主要包括白内障、角膜疤痕、青光眼。结论:阿巴卡利基地区的眼外伤疾病大多都可以预防,应加强公众的防治意识,使其了解相关方法,从而降低发病率。

AIM: To review the causes and visual outcome of eye injuries at Abakaliki, Ni geria. · METHODS: The hospital records of all patients who presented to the Accident a nd Emergency Unit or Eye Clinic of Federal Medical Centre, Abakaliki, with eye i njuries over 18mo period (2000-06/2001-11) were reviewed. · RESULTS: A total of 108 patients (60 males and 48 females) had eye injuries d uring the study period. The activities at the time of injury included fighting/a ssault 30 (27.7%), play/sports 22 (20.4%), farming 18 (16.7%) and domestic activ ities 16 (14.8%). The objects inflicting the injuries were mainly sticks, stone, fist and objects associated with road traffic accidents. Only 9 patients (8.3%) presented to the hospital within 24h of injury. Visual outcome was best in thos e with blunt trauma and worst in those with penetrating injuries. The major comp lications encountered were cataract, corneal scar and glaucoma. ·CONCLUSION: Eye injuries at Abakaliki are largely preventable. There is a need for public enlightenment on ways to reduce the incidence of eye injuries. ·