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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:

第13卷

期数:

2011年04期

页码:

321-323

栏目:

出版日期:

2011-07-20

文章信息/Info

Title:

Analysis of 69 cases with ocular trauma among military personnel

文章编号:

1672-271X(2011)04-0321-03

作者:

郭 斌; 范钦华; 杨建东; 左 晶; 陈 倩

210002 江苏南京，解放军81医院眼科

Author(s):

GUO Bin; FAN Qin-hua; YANG Jian-dong; ZUO Jing; CHEN Qian.

Department of Ophthalmology,81 Hospital of PLA，Nanjing,Jiangsu 210002,China

关键词:

眼外伤; 军事; 临床特征

Keywords:

ocular trauma;  military;  clinical characteristics

分类号:

R828.7

DOI:

-

文献标志码:

A

摘要:

目的 调查分析某医院军人眼外伤的分类和治疗情况，为军事人员眼外伤防治和相关医疗资源配置提供依据。方法 采用调查登记表的方法，对2008年6月至2009年12月门急诊和住院军人眼外伤临床资料进行了记录和统计分析。结果 眼外伤69例(81眼)，男63例，女6例；18～25岁 43例，＞25岁26例。致伤地点多见于工作训练场所、家庭和公共环境。致伤原因多为训练作业、运动和车祸。致伤物主要为车辆零件、金属碎片、砖石碎片等。多数患者致伤时无防护措施。受伤至我院就诊的间隔时间平均为29 h，＜24 h 35例(50.7%)，24~48 h 24例(34.8%)，＞48 h 10例(14.5%)。伤后初诊最佳矫正视力(best corrected visual acuity,BCVA)≥0.5 35眼，0.2~0.4 32眼，0.02~0.19 11眼；光感~0.01 3眼。致伤性质为顿挫伤和穿孔伤，眼部受累组织包括眼睑、角膜、结膜、晶状体和视网膜脉络膜等。并发症主要有葡萄膜炎、白内障、视网膜挫伤、前房积血、角结膜挫裂伤和异物残留。接受保守治疗42例，手术治疗27例。住院治疗31例，治疗时间为4~23d。治疗后出院视力与就诊时BCVA分布差异有统计学意义(χ2=35.455，P<0.01)。后送间隔时间越短，BCVA提高越明显 (χ2=6.968，P<0.05)。结论 军人眼外伤大多数与工作训练有关，可采用相关防护措施以避免。中心医院眼科对眼外伤救治起到重要作用，加快军人眼外伤分类后送可降低致残率。

Abstract:

Objective To investigate and analyze the categorization and treatment of ocular trauma among military outpatients and inpatients in a hospital of military area command and to provide basis for the prevention and treatment of ocular trauma among military personnel and the allocation of medical resources.Methods A registration form was set up for the survey.Data of injured eyes in outpatients and hospitalizations in a hospital of military area command infrom June 2001 to December 2005 were recorded and statistically analyzed.Results There were 69 military cases with 81 injured eyes,including 63 male and 6 female ones.Forty-three patients were 18-25 years of age while another 26 were over 25 years.The occurrence spots were workplace,family houses and public surroundings.Working,training,sports and road accidents were the main causes of injuries.The injury instruments included vehicle elements,mental debris,wood sticks,fist and foot.Most cases had no protective appliance.The interval time between occurrence and clinic visiting was 29 h,35 cases (50.7%) took less than 24 h,24 (34.8%) took 24 up to 48 h and another 10 (14.5%) took over 48 h.Thirty-five,32,11 and 3 injured eyes in first visiting had best corrected visual acuity (BCVA) of over 0.5,0.2 up to 0.4,0.02 up to 0.19 and light perception up to 0.01,respectively.Trauma characteristics were contusions and perforations.The affected tissues were eyelid,cornea,conjunctiva,len and retinochoroidal tissue.The major complications included uveitis,cataract,retinal contusion,hyphema,corneal and conjunctiva laceration and residual foreign bodies.Forty-two cases underwent medical treatments and the other 27 accepted surgeries.Thirty-one hospitalizations had therapeutic duration of 4 up to 23 d.The BCVA distribution difference between discharge and fist visiting had statistical significance (χ2=35.455,P<0.01).The faster evacuation might improve the BCVA,more obviously (χ2=6.968，P<0.05).Conclusion Military training and working were the main causes related to occupational eye injuries which could be avoided by relevant protective appliances.Department of ophthalmology in the central hospital may play a critical role in the rescue treatment of ocular trauma and accelerating of classification and evacuation can decrease the disability rate.

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更新日期/Last Update: 2011-07-20