基层医院开放性眼外伤105例分析报告

Analysis report on 105 cases of ocular trauma in primary hospital

目的:探讨基层医院开放性眼外伤的易感人群、原因、就诊时间、处理方法及意义。方法:2009年7月-2013年8月收治开放性眼外伤患者105例(105只眼),对其进行回顾性分析。结果:6只眼非手术治疗,99只眼手术治疗,其中6只眼修复伤口及时转院,4只眼行眼球摘除,交感性眼炎2例,治疗后视力≥0.05者42只眼。结论:基层医院是开放性眼外伤的主要首诊治疗场所,首次处理是否得当对伤眼的预后有直接关系,受伤者多为儿童、学生和农民,加强安全防护和教育,可减少眼外伤的发生,伤后及时就诊和正确处理,可减少开放性眼外伤的致盲率。

Objective:To investigate the susceptible population,causes,treatment time,treatment methods and significance of the ocular trauma in primary hospital.Methods:105 cases(105 eyes) of ocular trauma were selected from July 2009 to August 2013.Their data were analyzed retrospectively.Results:6 eyes were given non operation treatment,and 99 eyes were given operation treatment,including 6 eyes of repairing the wound and transfer timely,4 eyes of underwent enucleation,2 cases of sympathetic ophthalmia,visual acuity≥0.05 in 42 eyes.Conclusion:Primary hospital are the initial diagnosis and treatment places for ocular trauma,whether appropriate of the first treatment is directly related to prognosis of eye injury.Most of the injured are children,students and farmers.Strengthen the safety protection and education can reduce the occurrence of eye injury.Timely and proper treatment after ocular trauma can reduce the blindness of ocular trauma.