儿童外伤性前房积血的临床观察

Clinical observation on traumatic hypehma in children

目的探讨儿童外伤性前房积血及其并发症的治疗特点及治疗效果。方法对88例儿童外伤性前房积血的临床资料进行回顾性分析。结果88例经综合治疗后矫正视力≥0．4者75例（85．23％），行前房冲洗者7例（7．95％）。继发性青光眼34例（38．64％），其中皮质类固醇性青光眼9例（10．23％）。无继发性前房积血及角膜血染发生。结论对于儿童外伤性前房积血应采取个性化治疗方案，儿童作为皮质类固醇的高反应群体，在治疗前房积血时应警惕皮质类固醇性青光眼的发生。

Objective To evaluate the characteristics and effect of treatment for traumatic hyphema in children. Methods Retrospetive summary was conducted on 88 cases with hyphema in children. Results After a comprehensive treatment, the corrected vision ≥0.4 was in 75 cases （85.23%）, anterior chamber irrigation was uesd in 7 cases （7.95%）, secondary glaucoma in 34 cases （38.64%）, with corticosteroid glaucoma was in 9 cases （ 10.23% ） of which. There was no secondary hyphema or blood staining of cornea. Conclusion The individualized treatment should be taken for traumatic hyphema in children, children are high response group for glucocorticoid, so corticosteroid glaucoma should be alter to happen when have a treatment in hyphema.