高原眼外伤发病情况的探讨

Ocular trauma in high altitude

目的探讨高原眼外伤的特点，以便更好的防治。方法对7个月间住院的闭合性和开放性眼外伤107例，进行回顾性临床分析。结果高原眼外伤发生率高，眼外伤占同期住院总例数的50．95％；外伤伤情严重，治疗前视力低于0．05者占66．67％。致伤原因有其特殊性：就诊时间晚，最晚者伤后10d，平均（30．36±4．66）h；年龄偏小，平均年龄（30．80±1．33）岁，年龄最小者仅9个月；治疗后果差，治疗后视力低于0．05者仍占43．14％。结论应加强高原地区眼外伤防护知识及医疗技术支持。

Objective The characteristics of ocular trauma in high altitude were analysed to prevention and treatment better. Methods The 107 inpatient cases of closed-globe injury and open-globe injury were retrospective studied during seven months. Results The ocular trauma in high altitude had high prevalence （ 50.95 % of the total inpatients in the same period ; their damages were serious, visions less than 0.05 before therapeutic in 66.67% cases; the injury causes were special and the their ages were younger, with a mean age of 30.80 - 1.33 years （ the youngest was 9 months） ; the duration before seeing a doctor was delay, with a mean time of 30.36 ±4.66 hours （latest, 10 days） and the sight prognosis was bad, visions lower than 0.05 after therapeutic in 43.14% cases. Conclusion It is essential to strength the education of awareness and measures of prevention and support of medical techniques and instruments for ocular trauma managing in high altitude.