军人眼火器伤临床分析

发布时间：2018-12-12 18:51

【摘要】：目的分析并探讨军人火器致眼外伤的临床特点和救治情况。方法回顾15家三级甲等部队医院2001-2005年因火器伤所致军人眼外伤住院病例的外伤特点及预后情况,并进行统计学分析。结果 716例(772眼)军人眼外伤中火器致伤42例(60眼),占总人数的5.9%(占致伤眼的7.8%),其中18例(42.9%)为双眼伤,13例(31.0%)伴颅脑和(或)肢体伤。患者均为男性,年龄23.2±5.4岁,致伤原因主要为爆炸伤(占78.3%),眼部异物(占68.3%,其中球内异物高达41.7%,72.0%为铜质异物),混合伤多见,但并无眼内炎的发生。61.7%伤眼需行内眼手术治疗,33.3%行玻璃体切除术。按出院统计,15.0%的伤眼行眼球摘除或眼内容剜除,单眼低视力和单眼盲分别占8.3%和33.3%,双眼低视力和双眼盲分别占11.9%和2.4%。伤后视力与出院视力分级有明显相关性(r=0.457,P0.01),火器致眼外伤经治疗后视力明显改善(P0.01)。结论火器所致眼外伤伤情重且复杂、预后差,重视提高眼火器伤的急救和临床救治水平是军队眼外伤防治的一个重要课题。
[Abstract]:Objective to analyze and discuss the clinical features and treatment of firearm-induced ocular trauma in military personnel. Methods the trauma characteristics and prognosis of 15 soldiers with ocular trauma caused by firearm injury in 15 military hospitals of Grade 3A from 2001 to 2005 were reviewed and statistically analyzed. Results among 716 cases (772 eyes), 42 cases (60 eyes) were injured by firearm, accounting for 5.9% (7.8%) of the total number of injured eyes, 18 cases (42.9%) of which were binocular injuries. 13 cases (31.0%) were accompanied with craniocerebral and / or limb injury. All the patients were male, aged 23.2 卤5.4 years. The main causes of injury were explosive injury (78.3%), ocular foreign body (68.3%) and intraball foreign body (41.7%). But there was no endophthalmitis. 61.7% of the injured eyes needed intraocular surgery and 33.3% vitrectomy. According to the statistics of discharge, 15.0% of the injured eyes underwent enucleation or enucleation of the contents of the eyes. The monocular low visual acuity and monocular blindness accounted for 8.3% and 33.3% respectively, and the binocular low visual acuity and binocular blindness accounted for 11.9% and 2.4%, respectively. The visual acuity was significantly correlated with the visual grade of discharged patients (r = 0.457, P 0.01), and the visual acuity was improved after treatment (P 0.01). Conclusion the ocular injury caused by firearm is serious and complicated, and the prognosis is poor. It is an important task to improve the first aid and clinical treatment of firearm injury in army.
【作者单位】：解放军总医院眼科;
【基金】：全军“十一五”攻关课题(06G111)
【分类号】：R82

【相似文献】