眼部化学灼伤36例治疗分析

Analysis of treatment effect on 36 cases with ocular chemical injuries

目的探讨眼部酸碱化学灼伤的临床治疗方法及疗效。方法对2014年1月至2015年6月在复旦大学附属金山医院眼科就诊的酸碱化学伤36例（42只眼）采用冲洗结膜囊、局部和全身抗感染、维生素C、羊膜移植等综合治疗措施。结果42只眼除1例眼睑外翻，2例睑球粘连，7例角膜斑翳外全部痊愈，视力都有所提高，无1例角膜自溶或穿孔。结论眼部发生化学灼伤后给予及时彻底的冲洗结膜囊，并加以药物和手术治疗，往往能获得满意地效果。

Objective To investigate the clinical treatment modalities and effect of acid and alka-li chemical injuries. Methods Thirty-six cases （42 eyes） from our hospital were received the compos- itive treatment, including conjunctival sac flushing, local and systemic anti-infection, vitamin C, amni- otic membrane transplantation and so on. Results Forty-two eyes were recovered and visual acuities were improved. There was 1 case with eyelid ectropion, 2 cases with total symblepharon, 5 cases with corneal nebula, 1 case with corneal macula. No eye had corneal autolysis or perforation. Con- clusions The ocular chemical injury can obtain satisfactory results when promptly and thoroughly rinsing the conjunctival sac in time, with the drug and surgical treatment.