应用手持裂隙灯检查和治疗31例抗震救灾军人眼外伤

Examination and treatment of ocular trauma in earthquake with portable slit lamp

目的:总结赴四川抗震救灾医疗队应用手持裂隙灯检查和治疗救灾部队眼外伤患者的体会。方法:2008年5月14-7月14都江堰抗震救灾医疗队接诊救灾部队眼外伤患者31例,应用手持裂隙灯检查并给予诊断,其中角膜铁质异物17例,角膜上皮损伤9例,前房出血5例。在手持裂隙灯下行角膜异物取出17例。结果:17例角膜异物患者均一次性取出铁质异物及周围的铁锈环;9例角膜上皮损伤患者2 d后痊愈;5例前房出血患者3 d后视力恢复正常。结论:地震环境下应用手持裂隙灯可以正确诊断眼外伤患者,并能及时处置。建议将手持裂隙灯列入部队医院野战医疗所的常规配置。

Objective ： To evaluate the experience of the examination and treatment of ocular trauma for PLA patients, in the Great Wenchuan Earthquake, with the portable slit lamps. Methods： From May 14 to July 14, 2008, 31 eases of ocular trauma were treated by disaster relief medical treatment team. All were examined and diagnosed with portable slit lamps. Among these cases, there were 17 cases of the cornea iron foreign body, 9 cases of the cornea epithelium injury, 5 cases of the hyphema. The cornea iron foreign bodies of 17 cases were removed with portable slit lamps. Results： The cornea iron foreign bodies and the siderotic ring were all taken out at the same time, 17 cases; the cornea epithelium injuries were cured two days later, 9 cases ; the visual acuities, all 5 cases of the hyphema, were recovered 3 days after injury. Conclusion： In the area of the Great Wenchuan Earthquake, the medical materials were pinched for supplies. The portable slit lamps are simple but helpful for examination and treatment to ophthalmologists. The suggestion is that the portable slit lamps be routine disposition in the army medical treatment team.