创伤导致眼球摘出49例临床分析

目的:分析因创伤导致眼球摘除的相关因素。方法:收集我院2005-07/2009-07因创伤而导致摘除眼球的所有患者资料,对其受伤时间、原因、年龄和职业等因素进行分析。结果:从受伤到住院摘除眼球时间1h~40a,平均4.9a;导致眼球摘除的首要眼病是眼球破裂伴眼内容物脱失,其次是继发性青光眼,再次是化脓性眼内炎;青光眼或白内障手术并发症是导致眼球摘除的首要原因,其次是木块和石块击伤;职业构成:占第一位的是从事农业或建筑行业人群,其次是从事个体经营和工厂工人。受伤主要年龄在41~60岁,其次是21~40岁。结论:眼外伤后应及时正确处理,应加强对特殊人群有关眼睛保护知识的培训,对基层眼科医生应该加强技能训练。

Clinical analysis of 49 cases with extraction eyeball by ocular trauma

AIM: To analyze the correlative factors of extraction eyeball by ocular trauma. METHODS: The data of cases with extraction eyeball by ocular trauma from July 2005 to July 2009 were collected,and the factors of trauma time,causation,age and occupation were analyzed. RESULTS: The shortest time from being injured to extraction eyeball was 1 hour, the longest time was 40 years,average 4.9 years. The main disease causing extraction eyeball was ocular rupture, secondary glaucoma the second and suppurative endoophthalmia the third. The primary causation causing extraction eyeball was complications from operation of cataract and glaucoma, wood or stone wound was the second. Occupational composition: agriculture and construction industry were the easiest to cause extraction eyeball, individual labour and factory worker were the second. The age of extraction eyeball was chiefly from 41 years to 60 years, followed by from 21 years to 40 years. CONCLUSION: The cases of ocular trauma should be treated in time and correctly,the especial population should receive skill training about how to protect eyes,the oculist from primary hospital should be reinforced the clinical skill training.