军人眼外伤113例临床分析

A Clinical Analysis on 113 Servicemen with Eye Injury

目的 研究军人眼外伤的相关因素 ,探讨相应的防治措施。方法 对 1 1 3例 ( 1 3 7眼 )眼外伤住院军人的年龄、职别、致伤环境、致伤原因、就诊时间、主要致伤类型、受累组织、并发症及预后等进行总结和分析。结果 眼外伤患者占同期眼科总住院军人的 41 .85 %,均为男性 ,士兵居多 ,受伤地点多在工作训练场所 ,致伤原因以打击伤、钝器挫伤为主 ,就诊时间1/2h至 1 0d不等 ,致伤类型主要是睑裂伤、眼球钝挫伤、前房积血、视网膜震荡等 ,致盲率 2 0 .44%,眼球摘除 1眼。结论 眼外伤是军人主要致盲眼病之一 ,积极预防和采取及时治疗是关键。

Objective To investigate the factors correlative to eye injury of servicemen, and to discuss the corresponding preventive and therapeutic measures. Methods 113 servicemen with eye injury (137 eyes) were analyzed on aspects of age, profession, injurious condition, cause, time of visiting doctors, type of injury, involved tissue, complication, and prognosis. Results All of the patients with eye injury were male, and accounted for 41.85%, most of who consisted of soldiers and suffered eye injury at training spots. The injuries mainly resulted from trauma and contusion. The injured visited doctors between half an hour and 10 days from the start of injury. The most types of injury were composed of eyelid injury, blunt eyeball injury, hyphema and commotio retinae. The blindness rate was 20.44%, and an eye was removed. Conclusion It is vital that eye injury, which is one of the main eye diseases leading to blindness in servicemen, be prevented and treated actively.