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
2014年
6期
417-420
,共4页
外伤,眼球,开放性%儿童%特点,临床
外傷,眼毬,開放性%兒童%特點,臨床
외상,안구,개방성%인동%특점,림상
Injuries,globe,open%Children%Characteristic,clinical
目的 探讨儿童开放性眼球外伤的临床特点及和治疗结果关系.方法 对135例(136眼)儿童开放性眼球外伤的年龄、性别、受伤情况、伤口类型、伤后视力、及治疗结果进行回顾性分析.结果 135例(136眼)儿童开放性眼球外伤中,男104例(77.04％)、女31例(22.96％);年龄以3～8岁为主共83例(61.48％);致伤原因:剪刀刺伤、木棍戳伤、小刀刺伤、笔刺伤、玻璃片划伤、针刺伤、铁丝刺伤等锐器伤共82例占60.74％;鞭炮炸伤18例占13.33％.伤后视力与伤口类型有关,治疗后视力与伤后(治疗前)视力有关.结论 眼外伤是儿童常见的致盲眼病,多为男性学龄前儿童,且多由锐器所伤,伤情重,预后差.治疗结果与伤情有关.家长和老师应教育孩子勿玩危险物品和危险游戏,以预防为主.及时有效的治疗也很重要.
目的 探討兒童開放性眼毬外傷的臨床特點及和治療結果關繫.方法 對135例(136眼)兒童開放性眼毬外傷的年齡、性彆、受傷情況、傷口類型、傷後視力、及治療結果進行迴顧性分析.結果 135例(136眼)兒童開放性眼毬外傷中,男104例(77.04％)、女31例(22.96％);年齡以3～8歲為主共83例(61.48％);緻傷原因:剪刀刺傷、木棍戳傷、小刀刺傷、筆刺傷、玻璃片劃傷、針刺傷、鐵絲刺傷等銳器傷共82例佔60.74％;鞭砲炸傷18例佔13.33％.傷後視力與傷口類型有關,治療後視力與傷後(治療前)視力有關.結論 眼外傷是兒童常見的緻盲眼病,多為男性學齡前兒童,且多由銳器所傷,傷情重,預後差.治療結果與傷情有關.傢長和老師應教育孩子勿玩危險物品和危險遊戲,以預防為主.及時有效的治療也很重要.
목적 탐토인동개방성안구외상적림상특점급화치료결과관계.방법 대135례(136안)인동개방성안구외상적년령、성별、수상정황、상구류형、상후시력、급치료결과진행회고성분석.결과 135례(136안)인동개방성안구외상중,남104례(77.04％)、녀31례(22.96％);년령이3～8세위주공83례(61.48％);치상원인:전도자상、목곤착상、소도자상、필자상、파리편화상、침자상、철사자상등예기상공82례점60.74％;편포작상18례점13.33％.상후시력여상구류형유관,치료후시력여상후(치료전)시력유관.결론 안외상시인동상견적치맹안병,다위남성학령전인동,차다유예기소상,상정중,예후차.치료결과여상정유관.가장화로사응교육해자물완위험물품화위험유희,이예방위주.급시유효적치료야흔중요.
Objective To investigate clinical characteristics and the factors affecting visual prognosis of children with open globe injuries.Methods The medical records of 136 eyes of 135 children with open globe injuries were retrospectively examined.Age,gender,cause,wound type,visual acuity after injury,and treatment outcome were analyzed.Results Of 135 patients,there were 104 cases(77.04％)males and 31 cases (22.96％) females.83 patients (61.48％) were aged 3 to 8 years.Most injuries were caused by sharp and projectile objects (82 cases,60.74％),such as scissors,stick,knife,pencil,glass,needle and iron wire.Firecracker explosion wounding was in 18 cases (13.33％).Poor visual acuity after injury and wound type were associated with visual prognosis.Conclusion Open globe injury is a common cause of blindness in children,especially preschool boys.Most injures were caused by sharp objects and were severe with poor prognosis.Prognosis is associated with severity of ocular trauma.It is important to make children stay away from dangerous environment.If the trauma happened,immediately and effectively treamtment should be done.
