烟花爆竹所致142例眼外伤调查分析

Investigation of 142 cases of ocular trauma caused by fireworks and cracker

目的探讨炯花爆竹导致眼外伤的相关因素、高危人群及发病特点。方法对我院眼科收治的烟花爆竹所致眼外伤142例（154眼）的病历资料进行回顾性分析。结果男127例占89．44％。14岁以下儿童79例占55．63％。眼球破裂伤占25．97％、眼球穿孔伤占31．17％、眼球挫伤占30．52％。治疗后视力0．05以下者占41．56％。结康教育，论烟花爆竹所致眼外伤以男童居多，病情复杂，治疗后较普通眼外伤低视力的比例高，亟需开展燃放烟花爆竹的健建立起从院前预防和急救开始至院后康复的健康教育一体化模式，减少眼外伤的发生。

Objective To research the high-risk group and the features of ocular trauma caused by fireworks and cracker. Methods 142 cases （154 eyes ） injured by fire works and cracker were retrospectively studied. Results 127 cases（89.44% ） were male,79 eases（55.63% ） were children under 14 years old. Ocular rupture, perforating injury and contusion bulbi respectivly accounted for 25.97%, 31.17%, and 30.52%. 41.56% of the patients got a finally vision of lower than 0.05. Conclusion The ocular trauma caused by fireworks and cracker are severe and complicated, most of the patients are boys. Prevention, healthy education and in time treatment are important for this kind of eye injury.