挫伤性眼前房积血43例临床分析

目的 :探讨挫伤性前房积血的治疗及并发症的预防。方法 :挫伤性前方积血 4 3例 ,全身应用降眼压、皮质激素和止血药治疗 ,必要时行尿激酶球注或前房冲洗术。结果 :除继发性青光眼 1例 ,角膜血染 1例外 ,余者视力均有提高 ,其中 2 0例视力恢复至 1.0以上。结论 :挫伤性前方积血的合理、适时治疗 ,有助于提高视力 ,减少并发症     

外伤性前房出血治疗体会

报告292例外伤性前房出血。93例使用氨基己酸治疗,发生继发性出血9例(9.7％);对照组199例,33例(16.6％)发生继发性出血。治疗结果证实,氨基己酸是预防继发性前房出血疗效最为肯定的药物,值得推广。     

挫伤性前房积血的手术时机探讨

目的 探讨挫伤性前房积血的最佳手术时机。方法 对４５例挫伤性前房积血的患者进行回顾性分析,并比较分析了早期手术（２～４天内）和较保守治疗（７～９天后手术）两组的治疗效果及并发症。结果 早期手术治疗组视力恢复较好,角膜血染等并发症较少,未发现术中再出血。结论 挫伤性前房积血的早期前房冲洗可以减少并发症,获得较好的视力。     

早期前房穿刺放液治疗重度外伤性前房积血

目的评价早期前房穿刺放液治疗重度外伤性前房积血的效果。方法对60例（60眼）重度外伤性前房积血,按年龄进行分层随机分为两组,分别行早期前房穿刺放液及保守治疗,观察前房积血后眼压变化、积血吸收时间、瞳孔大小变化及视力恢复情况。结果重度外伤性前房积血伤后早期83．3％出现眼压升高,早期前房穿刺放液组眼压下降明显,与保守治疗组相比差异有统计学意义（P〈0．05）。早期前房穿刺放液组积血平均吸收时间为（5．57±1．28）d,与保守治疗组的平均（10．00±1．91）d相比差异有统计学意义（P〈0．05）。早期前房穿刺放液组有3例出现瞳孔散大,保守治疗组有11例出现瞳孔散大,两组差异有统计学意义（P〈0．01）。早期前房穿刺放液组治疗后平均视力0．84±0．45,保守治疗组愈后平均视力0．61±0．46,两组差异有统计学意义（P〈0．05）。结论重度前房积血早期行前房穿刺放液可加快积血吸收,减少并发症,获得较好的视力恢复。     

挫伤性前房积血36例临床分析

目的探讨36例挫伤性前房积血的治疗方法。方法对1年来收治的36例外伤性前房积血进行回顾性研究,统计分析临床资料。对挫伤性前房积血早期给予半卧位、止血、制动等综合治疗。结果早期综合治疗后36例前房积血完全吸收。结论挫伤性前房积血治疗的关键是止血、加速积血的吸收,防止发生并发症。     

眼挫伤致前房出血治疗及预后分析

目的 探讨各年龄组眼挫伤致前房出血的治疗方法及预后。方法 将本院门诊及病房治疗的85例前房出血分成老年组、成人组、青少年组进行比较。结果 年龄越大，眼挫伤致前房出血的并发症越多，治疗难度越大，治疗时间越长。结论 眼挫伤致前房出血并发症随年龄增加，发生率增加，视力影响大，预后差，应积极治疗。     

Toy gun ocular injuries associated with festive holidays in Kuwait

Background  Ocular trauma is one of the important causes of preventable blindness and visual impairment among children worldwide. Prevalence of pediatric ocular trauma associated with toy guns appear to be on the rise, although they are fully preventable. The purpose of this study is to report ocular trauma secondary to toy-gun pellets in Kuwait. Methods  We conducted a non-comparative case series based on review of the medical records of children who suffered ocular injury from toy-gun pellets and were admitted to a tertiary eye center during a 7-day Eid el-Fitr holiday season in Kuwait. Results  A total of 19 children were identified. Mean age was 7.8 years. Mean days of admission per patient was 3.6 days, with a total of 68 days of hospitalization. Variable anterior segment findings were identified, including lid edema, sub-conjunctival hemorrhage, corneal abrasion, and abnormal intraocular pressure. Most notably, different grades of hyphaema were seen in all patients, and traumatic cataract was identified in a 30-month-old child. The final visual acuity was 6/18 or better in nine patients and worse than 6/18 in eight patients. Conclusions  Eye trauma with toy guns resulted in significant injuries that required medical intervention and hospitalization for variable lengths of time, with a potential of causing long-term ocular complications. Our findings should assist public health workers in formulating specific prevention strategies, including a health educational program to make parents and health care professionals aware of the potential harm of these toys. The authors have full control of all primary data, and they agree to allow Graefe’s Archive for Clinical and Experimental Ophthalmology to review their data upon request. There is no financial interest in the subject of this work, as it was not sponsored by any organization.     

挫伤性前房积血68例临床分析

目的:探讨外伤性前房积血的治疗及预后.方法:对68例68眼挫伤性前房积血及其并发症同时存在的其他眼外伤治疗经过进行回顾性分析.结果:外伤性前房积血致伤物呈多样性,常见的并发症有继发性青光眼、角膜血染、外伤性白内障等.积极治疗可避免严重的视力损害.结论:单纯前房积血积极治疗视力恢复较好,有严重的并发症以及同时有其他眼外伤...     

中西医结合治疗挫伤性前房积血的疗效观察

目的观察中药佐治外伤性前房积血的临床效果。方法将98例(109眼)外伤性前房积血的患者随机分为中联合组(56眼)和对照组(53眼)各49例。对照组采用西医常规处理(制动、止血、应用甘露醇、地塞米松及纤维溶解剂等),联合组在西医常规疗法的基础上,加服中药治疗。观察积血吸收时间、视力恢复情况。结果①联合组20d积血完全吸收48眼,平均吸收时间9.132d,中位时间7d。对照组完全吸收47眼,平均吸收时间12.518d,中位时间13d,差异有统计学意义,χ2=5.461,P=0.019。②治疗后两组患者视力均有不同程度恢复,与治疗前比较差异有统计学意义,P=0.000。结论中西医结合治疗挫伤性前房积血的效果优于单纯西医治疗。     

外伤性眼前房出血142例临床分析

目的探讨不同程度外伤性眼前房出血的临床治疗方法。方法对2004年2月至2011年6月收治的外伤性眼前房出血142例的临床资料进行回顾性分析。结果Ⅰ级眼前房出血平均吸收时间2.98±0.20 d,Ⅱ级眼前房出血平均吸收时间6.84±0.60 d,Ⅲ级眼前房出血平均吸收时间12.88±1.40 d;89例Ⅰ级、24例Ⅱ级和8例Ⅲ级患者经过治疗视力完全恢复到损伤前的水平,5例Ⅱ级患者视力下降0.1～0.3,2例Ⅱ级患者视力下降0.3～0.5;经过治疗22例Ⅲ级患者中8例患者视力完全恢复到损伤前的水平,4例患者视力下降0.1～0.3,7例患者视力下降0.3～0.5,3例患者视力下降0.5以上。结论对于外伤性眼前房出血采取及时、正确的治疗,防止再出血及并发症是治疗成功的关键。