CAJ | 학술논문

目的：探讨严重角膜溃疡患者的流行病学及临床特点。 　　方法：选取2010-06/2013-12因严重角膜溃疡就诊中南大学湘雅医院眼科住院治疗的133例患者的临床资料,对其发病诱因、人群特征、诊断等进行回顾性分析。 　　结果：所有患者中男性91例(68.4%),41~60岁男性82例(44.4%),从事劳力工作者,农民居多,共77例(57.9%),文化程度偏低,初中以下学历共113例(85.0%),既往全身及眼部情况合并其他疾病者共73例(54.9%),每年1月为就诊高峰期(34.6%),平均住院日9.84d,急诊入院患者44例(33.1%),角膜溃疡合并前房积脓或穿孔共92例(69.2%),手术治疗102例(76.7%),其中羊膜移植类31例(39.2%),不同分析中可见男女性别差异。 　　结论：我院严重角膜溃疡患者多为居住条件较差的男性农民,其发病及治疗与病情严重程度、外伤史、诊疗意识相关。
목적：탐토엄중각막궤양환자적류행병학급림상특점。 　　방법：선취2010-06/2013-12인엄중각막궤양취진중남대학상아의원안과주원치료적133례환자적림상자료,대기발병유인、인군특정、진단등진행회고성분석。 　　결과：소유환자중남성91례(68.4%),41~60세남성82례(44.4%),종사로력공작자,농민거다,공77례(57.9%),문화정도편저,초중이하학력공113례(85.0%),기왕전신급안부정황합병기타질병자공73례(54.9%),매년1월위취진고봉기(34.6%),평균주원일9.84d,급진입원환자44례(33.1%),각막궤양합병전방적농혹천공공92례(69.2%),수술치료102례(76.7%),기중양막이식류31례(39.2%),불동분석중가견남녀성별차이。 　　결론：아원엄중각막궤양환자다위거주조건교차적남성농민,기발병급치료여병정엄중정도、외상사、진료의식상관。
To investigate and analyze the epidemiology of serious corneal ulcer. ● METHODS: A total of 133 serious corneal ulcercases from June 2010 to December 2013 in Xiangya Hospital Affiliated to Central South University were retrospectively reviewed for risk factors, demographic characteristics and diagnosis. ●RESULTS: There were 91 male patients (68. 4%) in the 133 patients. A peak incidence age was from 41 to 60 years old (82 cases, 44. 4%). Most of patients were peasant (77 cases, 57. 9%) and the percentage of the low schooling patients was 85. 0% (113 cases). The number of patients who had been sick was 73 before hospitalization (54. 9%) in all cases. The peak incidence season was January (34. 6%). Average length of stay was 9. 84d. The number of emergency cases was 44 (33. 1%). Most of patient were not only corneal ulcer cases but the hypopyon (92 cases, 69. 2%). The figure of inpatients who received operations was 102 cases ( 76. 7%). And the most of operations was amniotic membrane transplantation (31 cases, 39. 2%). Additionally, this data was classified regard to gender differences. ● CONCLUSlON: The peasant of the middle age and elderly represents a distinct clinical group in the serious corneal ulcer in hospital. Severity, ocular trauma in agriculture and health awareness are the major predisposing factors.