外伤性前房积血的临床观察

目的探讨外伤性前房积血的治疗方法和临床疗效。方法回顾性分析我院2006年1月至2010年12月外伤性外伤性前房积血79例,采用半卧床静休,双眼包扎,甘露醇,皮质类固醇,神经营养剂等应用,必要的行手术治疗。结果积极进行治疗后,前房积血完全吸收76例,占96.1%,未完全吸收3例,占3.9%。前房积血吸收后视力<0.1者4例,0.1～0.4者12例,0.4～0.9者35例,≥1.0者28例.结论外伤性前房积血的视力恢复程度与积血量多少、挫伤程度、并发症的多少及治疗有关外伤性前房积血的恢复与出血量大小,伤后就诊时间,并发症的程度以及患者的配合程度有关。

Objective To discuss treatment method and clinical curativeffect of traumatic hyphema.Methods The treatment and effects of79 cases of traumatic hyphema from January 2006 to December 2010 in our hospital were retrospectively analyzed.Treatment as semi-supine,rest,bandaging eyes,mannitol,corticosteroids,application of hemostatic agents,neurotrophic agents,the necessary surgical treatm.Results After treatment atotal 76 cases of hyphema absorption absolutely,3 cases not absorption absolutely.After hyphem a absorption,vision was〈0.1 in 4 cases,0.1 to 0.4 in 12 cases,0.4 to 0.9 in 35 cases,≥1.0 in 28 cases.Conclusion Vision recovery degree of traum athyphem a is related with blood volume,time,contusion extent the number of complications and therapy.