儿童眼外伤127例临床分析

目的:研究儿童眼外伤的致病原因、人口统计学特征、临床特点及评价视力恢复情况。方法:将我院2006-01/2009-01收治的127例<14岁的儿童眼外伤患者进行回顾性分析。分析统计患者的人口统计学特征、致病原因、临床特点,比较治疗前后的视力情况。结果:儿童眼外伤具有以下特点:男儿童明显多发(72.4%);农村儿童(78.0%)比例明显大于城市儿童(22.0%),受伤儿童大多数>3岁(88.2%);致伤原因中位列前3位的分别是:塑料子弹(27例,21.3%)、瓶盖(15例,11.8%)、鞭炮(15例,11.8%)。闭合性眼外伤(78.0%)明显多于开放性眼外伤(15.8%);盲目率从23.6%下降至7.9%。结论:儿童眼外伤重在预防,多数的儿童眼外伤特别是塑料子弹伤、瓶盖击伤、鞭炮炸伤等都是可以预防的。积极治疗儿童眼外伤可以明显降低眼外伤的致盲率。

Clinical analysis of 127 cases of pediatric ocular trauma

AIM:To identify the cause,demographics and clinical characteristics and evaluate final visual outcome of pediatric ocular injuries.·METHODS:One hundred and twenty-seven children aged fourteen years or less with ocular injury in our hospital from January 2006 to January 2009 were analyzed retrospectively.The cause,demographics and clinical characteristics were analyzed,and the effect of treatment was evaluated.·RESULTS:Pediatric ocular trauma had the following features:majority of injuries occurred in boys(72.4%);the proportion of rural children(78.0%) was biger than that of urban children(22.0%) obviously;majority of injuries occurred in children of 3 years and older(88.2%).The following were the most common three causes of injuries:plastic bullets(27 cases,21.3%);bottle shutter(15 cases,11.8%);firecracker(15 cases,11.8%).The proportion of colsed globe injuries(78.0%) was biger than open globe injuries(15.8%) obviously.The proportion of blind was 23.6% and dropped to 7.9% after treatment.·CONCLUSION:Prevention is very important for pediatric ocular trauma.The most part of pediatric ocular trauma can be prevented especially for the cases suffered from the plastic bullets,bottle shutter or firecracker.Blindness rates will be reduced obviously if pediatric ocular trauma can be treated actively.