眼科手持裂隙灯在地震灾害医疗救治中的应用

The use of portable slit lamp in the medical rescue of earthquake casualties

目的总结2008年5月14日-7月8日抗震救灾医疗队在都江堰地震灾区应用手持裂隙灯诊治237例眼病患者的体会。方法应用手持裂隙灯对237例眼病患者进行检查并作出诊断。在手持裂隙灯下实施结膜异物取出25例,角膜异物取出62例。结果经手持裂隙灯检查,发现结膜炎39例,结膜异物25例,翼状胬肉13例,角膜炎27例,角膜溃疡11例,角膜异物62例,角膜损伤24例,前房积血7例,虹膜睫状体炎16例,青光眼5例,白内障8例。25例结膜异物、62例角膜异物均在手持裂隙灯下一次性取出,未发生角膜穿孔和感染,经复查角膜愈合良好。结论应用手持裂隙灯不仅可以对眼前节疾病做出正确诊断,还有助于对结膜、角膜异物进行及时治疗。手持裂隙灯是抗震救灾医疗队眼科医生最方便实用的诊疗设备。

Objective To summarize the experience of examination and treatment of 237 cases of eye diseases with portable slit lamp in earthquake area of Dujiangyan, Sichuan Province, from May 14 to July 8, 2008. Methods 237 cases of the eye diseases were examined and diagnosed. With portable slit lamp, the foreign bodies in 25 cases of conjunctival foreign body and 62 cases of corneal foreign body were removed. Results Of the 237 cases, 39 were diagnosed as conjunctivitis, 25 as conjunctival foreign body, 13 as pterygium, 27 as keratitis, 11 as corneal ulcer, 62 as cornea foreign body, 24 as cornea injury, 7 as hypherna, 16 as iridocyclitis, 5 as glaucoma and 8 as cataract. With portable slit lamp, the foreign bodies in 25 cases of conjunctival foreign body and 62 cases of comesl foreign body were removed in one lump with no corneal perforation or infection. Follow-up examination showed that the wounded cornea repaired pretty well. Conelusions With portable slit lamp, ophthalmologists can not ouly make a precise diagnosis for the eye diseases in the anterior segment, hut also are able to timely to remove foreign bodies in conjunctiva and cornea. Portable slit lamp is a useful and convenient instrument for ophthalmologists in the field of earthquake disaster relief.