中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
2期
113-115
,共3页
眼外伤,化学性%化学物质%视功能
眼外傷,化學性%化學物質%視功能
안외상,화학성%화학물질%시공능
Trauma,ocular chemical%Chemicals%Function,visual
目的 探讨儿童化学性眼外伤的最佳治疗时机和措施.方法 通过对2005年1月至2009年12月期间我院收治的19例(21眼)儿童化学性眼外伤的紧急处理及病理改变各期的积极救治,观察其转归.结果 因受伤严重程度、化学物质的种类、治疗时机等的不同,治疗转归各异.视力低于0.1,角膜留有中度浑浊,且新生血管长入,睑球部分粘连者3例(3眼)；视力0.1 ～0.5之间,角膜留有轻度浑浊者4例(5眼)；角膜清亮,视力0.6 ～1.0者10例(11眼),其中2例(2眼)因年幼视力检查不合作.结论 同等级烧伤中,酸性烧伤眼比碱性烧伤眼愈后好,且及时恰当得力的处理和救治,能大大减少儿童眼化学伤的并发症,并能最大限度地挽救视功能.
目的 探討兒童化學性眼外傷的最佳治療時機和措施.方法 通過對2005年1月至2009年12月期間我院收治的19例(21眼)兒童化學性眼外傷的緊急處理及病理改變各期的積極救治,觀察其轉歸.結果 因受傷嚴重程度、化學物質的種類、治療時機等的不同,治療轉歸各異.視力低于0.1,角膜留有中度渾濁,且新生血管長入,瞼毬部分粘連者3例(3眼)；視力0.1 ～0.5之間,角膜留有輕度渾濁者4例(5眼)；角膜清亮,視力0.6 ～1.0者10例(11眼),其中2例(2眼)因年幼視力檢查不閤作.結論 同等級燒傷中,痠性燒傷眼比堿性燒傷眼愈後好,且及時恰噹得力的處理和救治,能大大減少兒童眼化學傷的併髮癥,併能最大限度地輓救視功能.
목적 탐토인동화학성안외상적최가치료시궤화조시.방법 통과대2005년1월지2009년12월기간아원수치적19례(21안)인동화학성안외상적긴급처리급병리개변각기적적겁구치,관찰기전귀.결과 인수상엄중정도、화학물질적충류、치료시궤등적불동,치료전귀각이.시력저우0.1,각막류유중도혼탁,차신생혈관장입,검구부분점련자3례(3안)；시력0.1 ～0.5지간,각막류유경도혼탁자4례(5안)；각막청량,시력0.6 ～1.0자10례(11안),기중2례(2안)인년유시력검사불합작.결론 동등급소상중,산성소상안비감성소상안유후호,차급시흡당득력적처리화구치,능대대감소인동안화학상적병발증,병능최대한도지만구시공능.
Objective To study the best timing of treatment and measures for chemical ocular trauma in children.Method From January 2005 to December 2009,in our hospital 19 case (21 eyes) with chemical ocular trauma in children accepted emergent treatment,and the out-come was observed.Results The disease outcome depended on the severity of injury,types of chemical substances,and timing of treatment.The visual acuity (VA) was less than 0.1 in 3 cases (3 eyes) with moderate corneal opacity,neovascularization,and partial symblepharon; 0.1 ～ 0.5 in 4 cases (5 eyes) with mild corneal opacity; 0.6 ～ 1.0 in 10 cases (11 eyes) with transparent cornea; The VA could not be tested because the remaining 2 patients (2 eyes) were too young to be cooperative.Conclusion The prognosis of acid burn is better than alkali burns in same level,timely and efficient processing will greatly reduce the complications of chemistry,and save the visual function in maximum.
