军人眼外伤基层医院救治情况调查

An investigation of medical care of ocular injuries of servicemen in grassroots hospitals

目的了解军人发生眼外伤后,在基层医院的救治情况及常见的误诊、漏诊情况。方法回顾性分析2002年1月1日-2008年12月31日在21所团级医院就诊的953例眼外伤病例;调查军人眼外伤患者在基层医院的诊治过程,包括首次手术的时间、延迟手术的原因、误诊疾病的种类及原因等情况。采用SPSS 13.0软件进行统计学分析。结果眼球开放伤的缝合率为89.9%(98/109),其中伤后24h内行一期缝合的占62.4%(68/109),延期手术的常见原因为转诊耽搁。眼球闭合伤的首次手术时间以Ⅲ区间隔时间最长。容易误诊的疾病包括视网膜脱离、视神经损伤、球内异物以及伪盲。结论为提高我军基层医院的卫勤保障能力,眼外伤发生后救治的时效性需进一步加强。基层医生对视网膜脱离、视神经损伤、球内异物以及伪盲的认识需要进一步提高。

Objective To investigate the status of treatment of ocular injuries in servicemen in grassroots hospitals,and the rate of misdiagnosis.Methods The data of 953 cases of ocular injury attended in 21 regimental hospitals from 2002-01-01 to 2008-12-31,were retrospectively analyzed.The course of diagnasis and trcatment of ocular injuries was investigated,including the interval between injury and the first surgery,the reason leading to delay of surgery,variety misdiagnosis,and the causes leading to misdiagnosis,etc.The collected data were then statistically analyzed by SPSS13.0 software.Results Among 109 cases of open ocular injury,98（89.9%） of them were closed with suture,and 68（62.4%） were sutured primarily within 24 hours.The common cause of delayed operation was a delay of transfer.The longest interval for the operation of closed injury of eyeball was in region Ⅲ.The frequent misdiagnoses were retinal detachment,optic nerve injury,foreign objects in eyeball and false blindness.Conclusion It is important to emphasize the limitation term of treatment of ocular injuries,particularly in the treatment of retinal detachment,optic nerve injury,foreign objects in eyeball and false blindness.