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眼球钝挫伤及其合并症的临床病理观察
引用本文:惠延年 蔡用舒. 眼球钝挫伤及其合并症的临床病理观察[J]. 解放军医学杂志, 1989, 14(4): 275-278
作者姓名:惠延年 蔡用舒
作者单位:第四军医大学西京医院眼科(惠延年,蔡用舒,白建伟),第四军医大学西京医院眼科(于健)
摘    要:报告12例眼球钝挫伤及其合并症的临床病理改变。房角撕裂与粘连、外伤性白内障、视网膜变性与脱离、虹膜与瞳孔的改变是钝挫伤常见的合并症。房角挫伤引起继发性青光眼(绝对期)以及眼球萎缩是导致眼球摘除的直接原因。由于钝挫伤往往同时引起眼内多种结构的损伤,而且青光眼和白内障可在伤后数年发生,因此对眼球钝挫伤应进行详细检查、及时处理和长期随访。

关 键 词:眼球钝挫伤 合并症 临床病理

CLINICOPATHOLOGY OF CONTUSIONAL NON-PERFORATING OCULAR INJURIES
Hui Yannian,Cai Yongshu,Bai Jianwei,Yu Jian. CLINICOPATHOLOGY OF CONTUSIONAL NON-PERFORATING OCULAR INJURIES[J]. Medical Journal of Chinese People's Liberation Army, 1989, 14(4): 275-278
Authors:Hui Yannian  Cai Yongshu  Bai Jianwei  Yu Jian
Affiliation:Hui Yannian,Cai Yongshu,Bai Jianwei,Yu Jian.Department of OphthalmQlogy,Xijing Hospital,Fourth Military Medical College.Xi'an
Abstract:Twelve cases of contusional non-perforating eye injury are reported.Anterior chamber angle tears and synechia,traumatic cataract,retinal degeneration and detachment,iris and pupillary changes were frequent complications,and they were discovered in most of the cases.Secondary absolute glaucoma induced by filtration angle tears and atrophy of the globe directly led to enucleation.It is suggested that blunt ocular trauma should be thoroughly examined,promptly treated and followed-up for a long period of time,since multiple intraocular structures can be injured at the same time and glaucoma or catara- ct may occur several years after injury.
Keywords:Contusional ocular injury Cinicopathology
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