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
9期
661-664
,共4页
眼损伤,医源性%缺陷,护理%并发症,手术,麻醉%治疗%预防
眼損傷,醫源性%缺陷,護理%併髮癥,手術,痳醉%治療%預防
안손상,의원성%결함,호리%병발증,수술,마취%치료%예방
Injury,ocular,iatrogenic%Errors,nursing%Complication,operative,anesthesia%Treatment%Prevention
目的 探讨医院内医源性眼部损伤的原因与防护措施.方法 回顾性分析26例(41眼)医源性眼部损伤,分析其一般情况、眼损伤分类、损伤原因及处理方法及结果.结果 医源性眼部损伤26例(41眼),年龄6～68岁,单眼伤者11例,双眼伤者15例,左右眼例数相近.眼损伤原因主要是护理缺陷、手术并发症、麻醉并发症3个方面.大部分是轻度损伤,经过对症治疗,获得痊愈.重度损伤3例(3眼).泪道损伤者,试行泪道探通,探通失败,则行泪囊鼻腔吻合手术治疗.伴有视力严重损害者,尽快查明原因,进行针对性药物治疗或手术治疗,仍有部分病例,疗效不佳.结论 避免或减轻损伤的关键在于预防,一旦出现,应积极请专科会诊,以协助治疗.
目的 探討醫院內醫源性眼部損傷的原因與防護措施.方法 迴顧性分析26例(41眼)醫源性眼部損傷,分析其一般情況、眼損傷分類、損傷原因及處理方法及結果.結果 醫源性眼部損傷26例(41眼),年齡6～68歲,單眼傷者11例,雙眼傷者15例,左右眼例數相近.眼損傷原因主要是護理缺陷、手術併髮癥、痳醉併髮癥3箇方麵.大部分是輕度損傷,經過對癥治療,穫得痊愈.重度損傷3例(3眼).淚道損傷者,試行淚道探通,探通失敗,則行淚囊鼻腔吻閤手術治療.伴有視力嚴重損害者,儘快查明原因,進行針對性藥物治療或手術治療,仍有部分病例,療效不佳.結論 避免或減輕損傷的關鍵在于預防,一旦齣現,應積極請專科會診,以協助治療.
목적 탐토의원내의원성안부손상적원인여방호조시.방법 회고성분석26례(41안)의원성안부손상,분석기일반정황、안손상분류、손상원인급처리방법급결과.결과 의원성안부손상26례(41안),년령6～68세,단안상자11례,쌍안상자15례,좌우안례수상근.안손상원인주요시호리결함、수술병발증、마취병발증3개방면.대부분시경도손상,경과대증치료,획득전유.중도손상3례(3안).루도손상자,시행루도탐통,탐통실패,칙행루낭비강문합수술치료.반유시력엄중손해자,진쾌사명원인,진행침대성약물치료혹수술치료,잉유부분병례,료효불가.결론 피면혹감경손상적관건재우예방,일단출현,응적겁청전과회진,이협조치료.
Objective To investigate the causes and preventive measures of iatrogenic eye injury.Methods 41 eyes of 26 cases with iatrogenic eye injury were retrospectively analyzed.The condition,classification,causes,treatment and outcomes were analyzed.Results Iatrogenic eye injuries mostly occurred in male aged 6 to 68 years old.The main causes of iatrogenic eye injury were nursing errors,operative complication and complication of anesthesia.Most iatrogenic eye injuries were mild,and healed after giving symptomatic treatment.Severe injury occurred in 3 cases.Probing of lacrimal passage was performed for lacrimal duct injury firstly and if it failed a dacryocystorhinostomy should be tried.For patients with severe visual damage,the cause of visual damage should be found out as soon as possible,and then,drug therapy or surgery were performed.But even by doing this the vision of some cases was still poor.Conclusion The key to avoid iatrogenic ocular injury is prevention.Timely special consultation and effective treatment are necessary to iatrogenic injury.
