CAJ | 학술논문

目的:探讨爆炸引起的眼外伤病例特征.方法:收集大坪医院2000- 01/2007- 03间所有因爆炸引起眼外伤住院患者的病例进行统计学分析.记录患者资料,受伤原因,初始及最终视力,药物治疗及住院时间.结果:共103例116眼,其中鞭炮炸伤71眼(61.2%),炸药(含雷管)22眼(18.9%),玻璃瓶爆炸10眼(8.6%),其他原因炸伤13眼(11.2%).2月份鞭炮炸伤是最主要的原因,发病占到40.9%.47.0%的鞭炮炸伤患者至少需要住院2wk治疗.受伤后只有11.2%的患者视力能够达到0.1以上,经过治疗可达33.6%.结论:爆炸引起的眼外伤,破坏程度大,虽经积极抢救治疗,预后一般较差.做好保护与预防才能真正降低该病的发病率.
목적:탐토폭작인기적안외상병례특정.방법:수집대평의원2000- 01/2007- 03간소유인폭작인기안외상주원환자적병례진행통계학분석.기록환자자료,수상원인,초시급최종시력,약물치료급주원시간.결과:공103례116안,기중편포작상71안(61.2%),작약(함뢰관)22안(18.9%),파리병폭작10안(8.6%),기타원인작상13안(11.2%).2월빈편포작상시최주요적원인,발병점도40.9%.47.0%적편포작상환자지소수요주원2wk치료.수상후지유11.2%적환자시력능구체도0.1이상,경과치료가체33.6%.결론:폭작인기적안외상,파배정도대,수경적겁창구치료,예후일반교차.주호보호여예방재능진정강저해병적발병솔.
AIM: To evaluate the incidence and characters of the explosive substance induced ocular injuries.METHODS: All patients were treated in the Ophthalmology Department ward of Daping Hospital between January 2000 and March 2007 for ocular injuries caused by explosive substance were reviewed. Patients demographics, causes of injury, initial and final visual acuity, medical intervention, and the length of hospitalization time were noted.RESULTS: Totally 116 eyes of 103 cases were identified. Firecracker caused 71 eyes(61.2%), engineering explosive caused 22 eyes(18.9%), explosion of glass bottles caused 10 eyes(8.6%), and other reasons caused 13 eyes(11.2%). Firecracker induced injuries had the highest incidence rate in February(40.9%). 47.0% patients caused by firecracker needed about 2 weeks therapy in the hospital. Only 11.2% visual acuity were 20/200 or better on presentation and after therapy it was 33.6%.CONCLUSION: Explosive substance may cause severe eye injuries, appropriate caution and prevention would be helpful to decrease the incidence rate of this kind of ocular injury.