CAJ | 학술논문

目的探讨综合疗法治疗急性眼表热烧伤的可行性及疗效.方法回顾性分析53例(73眼)急性眼表热烧伤住院病人的综合治疗情况,对其临床治疗进行总结.结果 73眼中,Ⅰ度及Ⅱ度烧伤62眼全部治愈,角膜透明,视力≥1.0(包括矫正视力);Ⅲ度烧伤7眼全部治愈,其中5眼留有角膜云翳,2眼留有角膜斑翳,睑外翻1眼,视力0.5～1.0;Ⅳ度烧伤4眼,3眼角膜遗留不同程度的斑云翳,1眼角膜白斑,2眼睑球粘连及眼睑闭合不全,视力均有不同程度恢复,病人满意.结论综合疗法治疗急性眼表热烧伤,可有效地促进创面的修复,减轻炎症反应,减少其并发症的发生,为二期手术做准备.
목적 탐토종합요법치료급성안표열소상적가행성급료효.방법 회고성분석53례(73안)급성안표열소상주원병인적종합치료정황,대기림상치료진행총결.결과 73안중,Ⅰ도급Ⅱ도소상62안전부치유,각막투명,시력≥1.0(포괄교정시력);Ⅲ도소상7안전부치유,기중5안류유각막운예,2안류유각막반예,검외번1안,시력0.5～1.0;Ⅳ도소상4안,3안각막유류불동정도적반운예,1안각막백반,2안검구점련급안검폐합불전,시력균유불동정도회복,병인만의.결론 종합요법치료급성안표열소상,가유효지촉진창면적수복,감경염증반응,감소기병발증적발생,위이기수술주준비.
Objective Explore the feasibility and efficacy about the combination therapy in treatment of acute ocular surface burns hot.Methods Retrospective analysis of 53 cases (73 eyes) acute ocular surface burns hot comprehensive treatment of patients,summed up the effect of clinical treatment.Results In 73 eyes,Ⅰ degree and Ⅱ degree burns 62 eyes all cured,corneal transparency,sight≥1.0 ( including corrected visual acuity);Ⅲ degree bums 7 eyes all cured,5 eyes have corneal nebula cloud spot,2 eyes have corneal spot shade,1 eye have eyelid eversion,sight 0.5～1.0;Ⅳ degree burns 4 eyes,3 cornea spot left by varying degrees of shade,1 eyes have cornea leukasmus,2 eyelid adhesions and eyelid ball dysraphism,restore vision in varying degrees,patient satisfaction.Conclusions General therapy of acute ocular surface burns hot can promote wound repair,reduce the inflammatory response,reduce the incidence of complications,ready to do surgery for the second phase.