中西医结合治疗化学性眼烧伤的临床体会

The chinical experience of combined traditional Chinese and Western therapy for chemical eye burn

目的：探讨化学性眼烧伤的治疗方法和效果。方法对受伤后1~24 h首诊于我院的化学性眼烧伤43例（78眼），采取中西医结方法治疗，包括：彻底冲洗结膜囊、清除附着致伤物、中和酸碱性、四环素可的松眼药膏滴眼、散瞳、应用维生素C、抗生素，自血结膜下注射，除风益损汤加味煎服等。结果Ⅰ-Ⅳ度化学性眼烧伤43例（78眼）无一例并发感染，经治疗3-56d痊愈，均保全了眼球。结论化学性眼烧伤采取中西医结合疗法效果较好。

Objective To study the treatment methods and curative effect of chemical ocular burns. Methods There were 43 cases （78 eyes） enrolled, who were firstly diagnosed as chemical eyeburn within 1-24 hours in our hospital. The integration of traditional Chinese and Western treatment was adopted. Including：thoroughly flushing the conjunctival sac, removing adherent vulnerants, neutralizing the acid and alkali, using tetracycline and cortisone acetate eye ointment, dilating the pupils, applying vitamin C and antibiotics, self-blood subconjunctival injecting, and Wind-Eliminating Boosting decoction application. Results No complicated infection occurred in any of the 78 eyes with I-Ⅳdegree of chemical burn. And all patients got cured after treatment for 3 to 56 days,and the eyeballs were saved. Conclusion Timely and effective treatment should be taken in the early period of chemical burns, and the integration of traditional Chinese and Western therapy has good effect.