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
2013年
2期
116-119
,共4页
眼外伤%劈柴%多因素%临床分析%视力预后
眼外傷%劈柴%多因素%臨床分析%視力預後
안외상%벽시%다인소%림상분석%시력예후
Injury,ocular%Fire wood,chopping%Multifactor%Analysis,clinical%Vision outcomes
目的 探讨因劈柴所致的眼外伤的危害性和治疗预防措施.方法 分析208例(210眼)因劈柴所致的眼外伤住院患者的受伤情况、诊断、治疗方法及治疗前后最佳矫正视力.结果 男性占绝大多数186例(188眼)占总例数89.42％.女性22例(22眼)占10.58％.受伤年龄以＞50岁为主.农村居多178例(180眼)占85.57％.其中24 h内就诊者68例(68眼)占32.69％,2-7天就诊者97例(99眼),占46.64％,8天以上43例(43眼)占20.67％.开放式眼外伤86眼占40.95％,闭合性眼外伤122例(124眼)占59.05％.外伤性白内障21眼占10.00％,玻璃体积血30眼占14.29％,视网膜脱离31眼占14.76％.最初最佳矫正视力和最终最佳矫正视力呈正相关.结论 对劈柴所致眼外伤眼部及视力情况进行评估可为患者及医生的治疗及预后作参考.
目的 探討因劈柴所緻的眼外傷的危害性和治療預防措施.方法 分析208例(210眼)因劈柴所緻的眼外傷住院患者的受傷情況、診斷、治療方法及治療前後最佳矯正視力.結果 男性佔絕大多數186例(188眼)佔總例數89.42％.女性22例(22眼)佔10.58％.受傷年齡以＞50歲為主.農村居多178例(180眼)佔85.57％.其中24 h內就診者68例(68眼)佔32.69％,2-7天就診者97例(99眼),佔46.64％,8天以上43例(43眼)佔20.67％.開放式眼外傷86眼佔40.95％,閉閤性眼外傷122例(124眼)佔59.05％.外傷性白內障21眼佔10.00％,玻璃體積血30眼佔14.29％,視網膜脫離31眼佔14.76％.最初最佳矯正視力和最終最佳矯正視力呈正相關.結論 對劈柴所緻眼外傷眼部及視力情況進行評估可為患者及醫生的治療及預後作參攷.
목적 탐토인벽시소치적안외상적위해성화치료예방조시.방법 분석208례(210안)인벽시소치적안외상주원환자적수상정황、진단、치료방법급치료전후최가교정시력.결과 남성점절대다수186례(188안)점총례수89.42％.녀성22례(22안)점10.58％.수상년령이＞50세위주.농촌거다178례(180안)점85.57％.기중24 h내취진자68례(68안)점32.69％,2-7천취진자97례(99안),점46.64％,8천이상43례(43안)점20.67％.개방식안외상86안점40.95％,폐합성안외상122례(124안)점59.05％.외상성백내장21안점10.00％,파리체적혈30안점14.29％,시망막탈리31안점14.76％.최초최가교정시력화최종최가교정시력정정상관.결론 대벽시소치안외상안부급시력정황진행평고가위환자급의생적치료급예후작삼고.
Objective To investigate the clinical features of ocular injuries due to chopping fire wood and the potential prognostic indicators for vision.Methods This is a retrospective analysis of 208 patients (210 eyes) with chopping wood-related ocular injuries.Age,gender,laterality,type of chopping fire wood,location of incident,initial best-corrected visual acuity (BCVA),diagnosis,management,and final BCVA at the last follow-up were documented.Relevant clinical features and visual outcome were evaluated.Results We observed 210 eyes in 208 patients.Injuries were more frequent in males (186 cases,89.42％).Female patients were 22 cases (10.58％).Most patients were older than 50 years old.Patients from the rural area were 178 cases (180 eyes,85.57％).Visiting hospital in 24 h were 68 eyes (32.69％),in 2-7 days were 99 eyes (46.64％),beyond 8 days were 43 eyes (20.67％).Open globle injuries accounted for 86 eyes (40.95％),while closed globe injuries accounted for 124 eyes (59.05％).The most common injuries causing accidents were chopping firewood (81.9％).Rural residents had significantly higher rates of injury compared with urban residents (P =0.023).Of 210 eyes,the most common injuries were anterior segment globe trauma (169 eyes,80.48％),traumatic cataract (21 eyes,10.00％),vitreous hemorrhage (30 eyes,14.42％) and retinal detachment (31 eyes,14.76％).After management,visual outcomes showed statistically significant improvement (P ＜ 0.005).Initial BCVA positively and strongly correlated with final BCVA (P ＜ 0.0001).Conclusion Chopping fire wood-related ocular injuries occur mainly in males and rural settings,which are usually severe and visually devastating.Therefore,preventive measures should be strengthened,including public education and legal restriction on the sale and use of chopping fire wood.
