儿童外伤性前房积血治疗后的临床效果

Observation on traumatic hyphema in children

目的:探讨儿童外伤性前房积血临床处理后的效果。方法:回顾性总结179例185眼儿童前房积血的处理经过,探讨药物治疗和手术治疗时机、方法以及并发症的预防。结果:本组病例治疗前伤眼视力>0.3者5眼(2.7%),视力<0.05者143眼(77.3%);治疗后伤眼视力有所提高,伤眼视力>0.3者81眼(43.8%),视力<0.05者25眼(13.5%),致盲率下降63.8%。结论:对于儿童外伤性前房积血,首先药物治疗,并积极预防和减少并发症的发生,同时掌握好手术时机,有效治疗并发症。

AIM：To evaluate the effect of clinical treatment for the traumatic hyphema in children. METHODS：Retrospective summary was conducted on 179 cases （185 eyes） with hyphema treatment. Drug therapy, surgery timing and methods, and prevention of complications were discussed. RESULTS：The visual acuity improved after treatment, visual acuity 0.3 was in 81 eyes, accounting for 43.8%, visual acuity 0.05 was in 25 eyes, accounting for 13.5%. The rate of blindness declined 63.8%. CONCLUSION：Ocular trauma should be actively prevented in children.Drug treatment is the first in children traumatic hyphema, complications should be actively prevented and reduced.And doctors should master the timing of surgery, and conduct effective treatment of complications.