军人眼外伤基层医院救治情况调查

发布时间：2019-04-27 09:59

【摘要】：目的了解军人发生眼外伤后,在基层医院的救治情况及常见的误诊、漏诊情况。方法回顾性分析2002年1月1日-2008年12月31日在21所团级医院就诊的953例眼外伤病例;调查军人眼外伤患者在基层医院的诊治过程,包括首次手术的时间、延迟手术的原因、误诊疾病的种类及原因等情况。采用SPSS 13.0软件进行统计学分析。结果眼球开放伤的缝合率为89.9%(98/109),其中伤后24h内行一期缝合的占62.4%(68/109),延期手术的常见原因为转诊耽搁。眼球闭合伤的首次手术时间以Ⅲ区间隔时间最长。容易误诊的疾病包括视网膜脱离、视神经损伤、球内异物以及伪盲。结论为提高我军基层医院的卫勤保障能力,眼外伤发生后救治的时效性需进一步加强。基层医生对视网膜脱离、视神经损伤、球内异物以及伪盲的认识需要进一步提高。
[Abstract]:Objective to investigate the medical treatment, misdiagnosis and missed diagnosis in primary hospitals after ocular trauma in servicemen. Methods from January 1, 2002 to December 31, 2008, 953 cases of ocular trauma in 21 regiment hospitals were retrospectively analyzed. To investigate the diagnosis and treatment of military patients with ocular trauma in primary hospitals, including the time of the first operation, the causes of delayed operation, the types and causes of misdiagnosed diseases and so on. SPSS 13.0 software was used for statistical analysis. Results the suture rate of open eye injury was 89.9% (98 / 109), among which 62.4% (68 / 109) underwent primary suture within 24 hours after injury. The common cause of delayed operation was delay in referral. The first operation time of closed eyeball injury was the longest in area 鈪，

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