蔬菜大棚劳动者眼球穿孔伤的初步调查

Preliminary investigation of ocular perforating trauma of labourer in vegetables greenhouse

目的调查蔬菜大棚劳动者生产过程中发生眼球穿孔伤的流行现状。方法回顾性分析2012年1月至2016年12月住院的317例（317眼）蔬菜大棚劳动过程中眼球穿孔伤的致伤原因及治疗结果。结果在317例眼球穿孔伤中铁丝刺（崩）伤212例，占66．88％，视力恢复≥0．3者193例，占91．04％；大棚竹竿戳伤95例，占29．97％，视力恢复≥0．3者37例，占38．94％；刀剪类刺伤4例，占1．26％，视力恢复≥0．3者3例，占75．00％；其他类（跌落等）6例，占1．89％，视力恢复≥0．3者4例，占66．67％。结论眼球穿孔伤患者及早就医治疗眼外伤能最大限度保留或恢复视功能，术后视力与眼球穿孔伤的损伤程度、就诊时间及致伤物性质密切相关。

Objective To investigate the epidemiological status of ocular perforating in vegetables greenhouse labourer during the production. Methods The data of 317 eyes of 317 patients with ocular perforating trauma in labor process from Jan. 2012 to Dec. 2016 were analysed retrospectively The injure cause and prognosis were analyzed. Results Among them, ocular perforating trauma caused by iorn wire in 212 cases（66.88% ） , bamboo pole of greenhouse in 95 cases（29.97% ）, knife and scissors in 4 cases （1.26%） and others in 6 cases （1.89%）. After treatment, the visual acuity 1〉 0. 3 was in 193 cases （91.04%）, 37 cases（38.94% ） ,3 cases（75% ）and 4 cases（66.67% ） ,respectively. Conclusion Ocular perforating trauma should be treated immediately for protecting maximum visual performance. Postoperative visual acuity is closely related to degree of injury, clinic time and vulnerant.