挫伤性前房积血70例临床分析

Clinical analysis of 70 patients with contusive hyphema

目的 探讨挫伤性前房积血的治疗方法.方法 对挫伤性前房积血早期给予止血药物等综合治疗,出现继发性青光眼和角膜血染时,适时手术治疗.结果 经综合治疗后62例前房积血完全吸收;6例继发青光眼、2例角膜血染,经及时手术治疗,恢复正常.结论 挫伤性前房积血治疗的关键是止血、加速积血的吸收和排出积血,出现继发青光眼及角膜血染时,适时进行手术可减少并发症对角膜及视功能的损害.

Objective To investigate the more effective treatment for contusive hyphema through analysis of clinical data. Methods Clinical data on 70 eyes of contusive hyphema were analyzed. Early stop bleeding and combined modality therapy was put in practice,and surgical treatment should be done when secondary glaucoma and secondary keratohemia was occurred. Results The hyphema was absorbed in 62 eyes. 6 eyes with secondary glaucoma and 2 eyes with secondary keratohemia took place which were done by surgical treatment and intraocular pressure were normal and cornea was almost clear after surgical treatment. Conclusion For contusive hyphema,early stop bleeding, promoting hemorrhage absorption etc was key treatment. For patients with severe complications such as secondary glaucoma,secondary keratohemia,surgical treatment should be done in time. The effect of treatment was satisfied.