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
3期
165-168
,共4页
眼外伤%流行病学
眼外傷%流行病學
안외상%류행병학
Ocular injury%Epidemiology
目的 调查研究苏州市成人开放性眼外伤的病因及视力结果 .方法 收集2007年1月至2010年7月苏州大学附属第一医院眼科住院收治的成人开放性眼外伤220例(221眼)的临床资料,进行回顾性分析.结果 发病年龄以青壮年居多,平均年龄(41.15±15.39)岁,男女比例为4.37∶1.右眼占55.66％,左眼占44.34％,右眼:左眼=1.26∶1.职业以工人和农民为主.开放性眼外伤以眼球破裂最多(59.55％),以下依次为眼球穿孔伤、眼内异物.未见眼球贯通伤.致伤因素依次为:锐器弹伤、打架或撞伤、摔伤、车祸、鞭炮炸伤、剪刀戳伤等.手术后盲目(视力＜0.05)率为27.73％,眼球摘除率为1.82％.结论 工作和生产意外是成人开放性眼外伤的主要因素,后果严重,应加强预防.及时就诊和眼科显微技术的广泛开展是挽救视力、降低眼外伤并发症的有效保证.
目的 調查研究囌州市成人開放性眼外傷的病因及視力結果 .方法 收集2007年1月至2010年7月囌州大學附屬第一醫院眼科住院收治的成人開放性眼外傷220例(221眼)的臨床資料,進行迴顧性分析.結果 髮病年齡以青壯年居多,平均年齡(41.15±15.39)歲,男女比例為4.37∶1.右眼佔55.66％,左眼佔44.34％,右眼:左眼=1.26∶1.職業以工人和農民為主.開放性眼外傷以眼毬破裂最多(59.55％),以下依次為眼毬穿孔傷、眼內異物.未見眼毬貫通傷.緻傷因素依次為:銳器彈傷、打架或撞傷、摔傷、車禍、鞭砲炸傷、剪刀戳傷等.手術後盲目(視力＜0.05)率為27.73％,眼毬摘除率為1.82％.結論 工作和生產意外是成人開放性眼外傷的主要因素,後果嚴重,應加彊預防.及時就診和眼科顯微技術的廣汎開展是輓救視力、降低眼外傷併髮癥的有效保證.
목적 조사연구소주시성인개방성안외상적병인급시력결과 .방법 수집2007년1월지2010년7월소주대학부속제일의원안과주원수치적성인개방성안외상220례(221안)적림상자료,진행회고성분석.결과 발병년령이청장년거다,평균년령(41.15±15.39)세,남녀비례위4.37∶1.우안점55.66％,좌안점44.34％,우안:좌안=1.26∶1.직업이공인화농민위주.개방성안외상이안구파렬최다(59.55％),이하의차위안구천공상、안내이물.미견안구관통상.치상인소의차위:예기탄상、타가혹당상、솔상、차화、편포작상、전도착상등.수술후맹목(시력＜0.05)솔위27.73％,안구적제솔위1.82％.결론 공작화생산의외시성인개방성안외상적주요인소,후과엄중,응가강예방.급시취진화안과현미기술적엄범개전시만구시력、강저안외상병발증적유효보증.
Objective To investigate epidemiological and clinical characteristics,and visual outcomes of open-globe injuries in Suzhou.Methods Retrospective,consecutive case series were collected.Information of 220 inpatients (221 eyes) with open-globe injury cases in the First Affiliated Hospital of Suzhou University from Jan.2007 to Jul.2010 were analyzed.Results Most of the patients with openglobe injuries were young adults,average age was (41.15 ± 15.39) years.The ratio was 4.37∶1 between male and female.Of those cases,55.66％ were injuried in right eye,44.34％ were in left eye,the ratio was 1.26∶1 between the right and the left eye.Workers and farmers were the high-risk groups suffered with open-globe injuries.The main types of ocular injury were eyeball rupture ( 59.55％ ),penetrating injury (30.45％),intraocular foreign body (10％).The main factors were sharp wound,fight,break,explosive injury,and so on.The rate of blindness after treatment was 27.73％ ,and the rate of enucleation was 1.82％.Conclusion Accident at working time is the main cause of open-globe injury in adult.It is very important to strengthen safety education and work protection.Early,prompt and effective microsurgical treatment are the key points of therapeutic efficacy.
