角膜异物伤1637例临床分析

Clinical analysis on the corneal foreign body injuries of 1637 cases

目的分析和探讨角膜异物伤患者流行病学特点、预防及预后。方法统计分析我院门诊就诊角膜异物伤1637例(1726眼)患者的年龄、性别、职业、致伤物、受伤部位(分区)、患者的安全意识原因、视力下降与受伤部位的关系,以及是否参加医疗保险等。结果可防护的角膜异物伤1374例(1412眼),占83.9%,受伤时有防护镜或面罩的占可防护的角膜异物伤患者的113例(8.2%),除部分患者视力下降外未发生严重并发症,视力下降的概率为1.8%(25/1412),角膜中心区(C区)角膜异物伤患者视力下降的概率为9.8%(18/183),867例可防护的角膜异物伤患者(63.1%)未参加医疗保险。结论从业者自身、相关企业、医务工作者的重视可大大降低角膜异物伤的发生。适当的治疗后,大多数角膜异物伤可有较好的治疗效果。

Objective To explore the prognose and prevention of cornea foreign body injuries and analysis the epidemilogic character. Methods statistical analysis the ages,sexes,ocupations, vulnerant,wound area,safety consciousness,impaired vision by wound area and medical insurances of 1673 out-patients with corneal foreign body injuries of our hospital. Results There are 83. 8% patients （1374 cases） with corneal foreign body injuries which should have be safty protected. There are 11. 1% patients（182 cases） with foreign-body in center area of cornea. There are 8. 2% patients of cornea foreign body with safty glasses or mask when they were be injured. There aren＇t severe complications except for im- paired vision. Impaired vision rate is 1. 5% of patients with cornea foreign body injuries. The impaired vision rate is 9. 3% of patients with foreign-body in center area of cornea. 63. 1% patients which should have be safty protected haven’t medical insurances. Conclusion To think highly of cornea foreign body injuries by the workers,relative enterprises and ophthalmologist may reduce the injuries of cornea-foreign-body. With properly treatment,the prog- nosis should be alright.