重视眼科急诊处置中整形原则与技巧的运用

Ocular plastic principles and skills in ophthalmic emergency treatment

眼科急诊中常见眼部皮肤、结膜裂伤,其终极结果关乎伤眼视力及患者心理健康,故在急诊处置中掌握必要的整形原则和技巧十分重要。本文对眼科急诊整形手术的适应证、麻醉和清创原则予以总结归纳,对修复眉部和眼睑较深伤口、纵形伤口,以及眦角伤口等的特殊性进行了论述。缝合技术是眼科医师的基本功,耐心、精细、微创可起到事半功倍之效,而医师的职业道德、修养和技术水平,就隐藏在伤口最终的命运之中。

Traumas of eyelid skin and conjunctiva are common in ophthalmic emergency. It is very important to know some plastic principles and techniques, because there are many particularities in the traumas eyelid, eyebrow and canthus. Sewing technique is the basic skill in ophthalmic trauma surgery, and knowing how to handle the trauma repair with the middest injury technique can help us succeed. Moral cultivation and technical skills of doctors will be hidden in the ultimate fate of the wound.