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目的:调查眼外伤的发病情况及临床疗效,探讨其防治措施。方法:对2002年1月～2006年2月新疆医科大学第一附属医院收治的429例眼外伤患者的临床资料进行回顾性分析。结果:429例眼外伤中,男女之比为5.40∶1,左眼占47%,右眼占44%,双眼占9%。眼外伤多发于21～40岁。工人及农民眼外伤者203例,占47.3%。工作场所受伤者占29.60%。暴力性眼外伤占21.40%,车祸外伤占9.21%。住院眼外伤患者以开放性眼球损伤、眼挫伤及眼附属器挫伤为主。眼部损伤以眼睑挫伤裂伤、角巩膜裂伤、前房积血、外伤性白内障较常见。治疗后致盲率下降了13.4%。结论:眼外伤是造成失明的主要原因之一。加强职业活动中的安全防护,强调规范操作可大大降低职业活动中眼外伤的发生,避免不必要的视功能损害。
Objective: To investigate the incidence of ocular trauma and its clinical efficacy and to explore its prevention and treatment. Methods: The clinical data of 429 cases of ocular trauma admitted to the First Affiliated Hospital of Xinjiang Medical University from January 2002 to February 2006 were analyzed retrospectively. Results: In 429 cases of ocular trauma, the ratio of male to female was 5.40:1, the left eye accounted for 47%, the right eye accounted for 44% and the eyes 9%. Eye trauma occurred in 21 to 40 years old. 203 cases of workers and peasant eye injuries, accounting for 47.3%. 29.60% were injured in the workplace. Violent eye injuries accounted for 21.40%, car accidents accounted for 9.21% trauma. Hospitalized patients with ocular trauma to open eye damage, eye contusion and eye attachment contusion-based. Ocular damage with eyelid laceration, scleral laceration, anterior chamber hemorrhage, traumatic cataract more common. Blindness decreased by 13.4% after treatment. Conclusion: Eye trauma is one of the main causes of blindness. Strengthen occupational activities in the safety and protection, emphasizing the standard operation can greatly reduce the Occurrence of Ocular Injury in occupational activities, to avoid unnecessary damage to visual function.