招飞体检中对视网膜出血标准掌握的探讨

Objective To investigate and discuss the evaluation criterion of retinal hemorrhage by analyzing its location and morphology those were collected in pilot recruiting from 1987 to 2006.Methods Ocular fundus of 37 446 candidates',who were grouped by area (Shandong and Northeast region).were examined after mydriasis and 217 eyes of retinal hemorrhage were picked and tracked for analysis.Among these cases 34 were tested by coagulogram examination. Results The incidence of retinaI hemorrhage was 0.29% for 37 446 candidates (74 892 eyes) and no regional difference was found.In morphologic statistic,73.27%retinal hemorrhages were dot-shaped or flame-shaped while 9.22% were irregular-shaped.17.51%retinal hemorrhages were found with retinal vascular changes or other ocular fundus affections.There was significant difference between groups in morphologic analysis (χ2=10.553,P<0.05).For hemorrhage location,49.77% were at posterior pole,31.80% were at peripheral or equatorial area of retina and 18.43%were beside papilla optica or at macular area.The location of hemorrhage also showed significant difference between groups (χ2=11.858,P<0.05).159 of 217 eyes (73.27%) were finally assessed as eligible. Conclusions Simple retinal hemorrhage.that were found in pilot recruiting,could be recovered and no sequela resulted.Qualification could be issued to those candidates with simple retinal hemorrhage but with innate vascular variation or multiple ocular fundus abnormality.

Discussion on the evaluation criterion of retinal hemorrhage for pilot recruiting