1022例开放性眼外伤患者回顾性分析

Retrospective analysis on 1022 inpatients with open-globe injuries

目的回顾浙江省中东部三级乙等医院眼科住院患者中开放性眼外伤的分布特征、致伤原因及预后。设计回顾性病例系列。研究对象2006年6月至2011年6月台州市眼科医院住院的开放性眼外伤患者1022例（1022眼）。方法对研究对象的住院病历进行回顾性总结，分析其外伤原因、部位、类型以及预后等。主要指标患者基本信息、视力、外伤原因及类型。结果眼外伤的主要人群为21-50岁的男性务工者，占69．8％；外伤部位以Ⅰ区（角膜区域）和Ⅱ区（角膜缘外5mm内巩膜区域）外伤为主，占90％；“工业生产”致伤为眼外伤的主要原因，占71．6％；外伤部位与预后视力相关；“眼内异物留存、伤及玻璃体及视网膜”是发生眼内感染的正相关因素。结论开放性眼外伤以青壮年男性务工者多见，“工业生产”致伤为眼外伤的主要原因，视力预后与外伤的部位、是否眼内感染有关。

Objective To summarize the epidemiology, causes, prognosis and the prevention methods of inpatients with open-globe injuries in Taizhou Eye Hospital, a middle flrst-class hospital in Zhejiang Province. Design Retrospective case series. Par- tidpants One thousand and twenty-two inpatients （1022 eyes） with open-globe injuries from June 2006 to June 2011 in Taizhou miniciple Hospital. Method The medical records were retrospectively analysed to summarize the causes, locations, types, and prognosis of the injuries. Main Outcome Measures Essential information, visual acuity, causes and types of the trauma. Results The main popu- lation of the injuries was in the male migrant workers aging 21 to 50 years old, accounted for 69.8%. 90% trauma position were in the area Ⅰ （cornea） and Ⅱ（within the 5 mm outer of limbal ）. ＂industrial production＂ was main course of open-globe injuries, accounted for 71.6%. The effects of the treatment of ocular trauma were related to the trauma position. Intraocular foreign bodies and vitreous and retina injuries were related to intraocular infection. Conclusion The retrospective analysis of open-globe injuries shows a certain place of getting it＇s basic characteristics, prognosis and guiding clinical treatment.