角膜穿通伤394例临床分析

CLINICAL ANALYSIS OF 394 CASES WITH PENETRATING INJURIES IN CORNEA

394例角膜穿通伤中,男332例(84.26％),女62例(15.74％)。15岁以下161例(40.86％),16～40岁164例(41.63％),40岁以上69例(17.51％)。异物飞射致伤为主要致伤原因,农民和学生最多,各占50.30％和24.62％。冬春季最多。穿通伤以角膜中央最多,裂口多呈直线形。裂口≤4mm占58.63％,5～8mm占31.47％。37.56％的患者伤后2天才就诊。8.12％作了眼球摘除,疗后盲目率达75.97％。指出农村劳动力加强劳动保护的重要性。

Of 349 cases of corneal penetrating injuries, 332 cases were males (84.2%), 62 cases were females (15.74%); 161 cases (40.8%) were below 15 years of age, 164 were between 16-40 years of age and 69 were above 40 years of age (17.51%). The corneal injuries were mainly due to the rapid shooting of foreign bodies. Most of the cases were peasants and students, accounting for 50.30% and 24.62% respectively. Such in juries occurred mostly in winter and spring. Among the penetrating injuries, those at the centre of the cornea were the most common with most of the splits straightline-shaped. The splits which are shorter than or egual to 4mm in diametre accounted for 58.63% and those of 5-8mm in diametre accounted for 37.4%. 37.56% of the subjects came to see the doctor afterhaving got injured for 2 days and 8.12% of them received enucleations of eyeballs. The blind ratio after operations was 75.97%. Great atten-tion should be paid to the importance of labor protection for the ruralpeople.