汽车安全气囊所致的眼外伤

Ocular Injuries Related to Air Bag Inflation

目的：报告了因汽车安全气囊造成的眼外伤及化学性烧伤。希望引起眼科同仁的高度重视．方法：４例病人均是进口高档小卧车，在发生碰撞时因汽车安全气囊高速膨胀打开及气囊破裂所致的眼损伤及化学烧伤．分析了汽车型号及种类，事故发生时的速度，眼损伤的类型和视力情况．结果：第一例病人为碱性化学性角膜炎伴虹膜根部离断及瞳孔括约肌破裂而造成瞳孔扩大；第二例病人为近视镜片致角巩膜板层撕裂伤；第三例病人为广泛角膜擦伤伴前房出血；第四例病人为视网膜水肿出血伴后极部脉络膜裂伤．结论：安全气囊能保护生命降低致伤率，但因气囊的冲击力量引起的机械损伤和气囊中强碱性气体导致的化学烧伤更要引起国内眼科医生的注意．

Objective: The effectiveness of air bags as a safety device in decreasing fatalities and reducing morbidity in frontal impact motor vehicle accidents has been well established. However, case reports have surfaced documenting ocular injuries related to air bag inflation. The purpose of this study was to identify and analyze ocular injuries sustained during air bag inflation. Methods: Hospital emergency room records were reviewed retrospectively for patients who had sustained ocular injuries in motor vehicle accidents. Those injuries associated with air bag inflation were analyzed as to the nature of the injury, type of vehicle speed and visual morbidity. Results: Four cases of ocular injury related to air bag inflation were identified. There were hepnema and cornea abrasion with chemical keratitis and corneal scleral laceration and traumatic retinopathy. Conclusion: While air bags are unequivocal safety feature, ocular injuries do occur that are related to air bag inflation. Eye glass wear may present an additional risk factor