综合治疗眼部碱烧伤22例临床分析

目的:探讨综合治疗眼部碱烧伤的效果。方法:对22例(34眼)眼部碱烧伤患者,在彻底冲洗结膜囊并清除附着异物后,全身及局部大量应用抗生素、皮质类固醇、Vit C,加上局部肝素、自血结膜下注射等综合治疗措施促其愈合。结果:15眼经综合治疗视力均恢复0.8以上,角膜透明。视力恢复至0.6者1眼,0.25~0.4者15眼,均见角膜云翳或斑翳。部分角膜缘长入新生血管;视力恢复至0.1者2眼,光感者1眼,均有角膜白斑、新生血管、结膜瘢痕以及结膜囊缩窄。结论:眼部碱烧伤患者经综合治疗可以取得良好临床效果,并为后期手术提供较好基础。

Analysis on 22 cases of ocular alkali burn

Objective：To evaluate the effect of complex treatment of eye alkali burn.Methods：Twenty-two cases（34 eyes） of alkali burn were treated as follows： washing the conjunctival sac,cleaning ocular foreign bodies.Applying to local and general body more antibiotics,Vitamin C and corticosteroid,added with local heparinizing,auto-blood transfusion and other comprehensive therapy to promote healing.Results：Fifteen eyes got 0.8 or better vision after treatment,the corneal was translucent.One eye′s vision was improved to 0.6,15 eyes to 0.25-0.4.These all eyes had corneal nebula or macula.Vision was above 0.1 in 2 eyes and the last 1 eye got light perception,all of these eyes had corneal leucoma,neovascularization,symblepharon and conjunctival sac constriction.Conclusions：After the effective comprehensive treatment,the alkali burn eyes can get a better result,and offer a good base for operation.