学生眼钝挫伤致前房出血临床分析

目的探讨学生眼钝挫伤致前房出血的临床特征和治疗。方法对我院门诊治疗的105例学生前房出血患者相关因素及治疗效果进行分析。结果本组病例致病原因,球类运动摔碰占48.13%,拳击及物体碰伤占37.05%,车祸及烟花爆竹炸伤占14.82%。I级和Ⅱ级前房出血占90.12%。出血20例(19.05%)1~3d内吸收,50例(47.62%)4~6d内吸收,22例(20.95%)7~10d内吸收,7例(6.67%)11~15d内吸收,6例(5.71%)>15d吸收。愈后视力>0.5者90例(85.71%)。结论学生眼钝挫伤致前房出血的临床特点为,多见于球类碰撞和拳击伤;程度主要为I级和Ⅱ级;多于3小时内就诊,并发症较少。眼钝挫伤致前房出血重在预防和积极治疗。

Clinical analysis on blunt traumatic hyphema of students

Objective To analysis the character and treatment of blunt traumatic hyphema of students.Methods Retrospectively analyzed 105 cases of students＇ blunt traumatic hyphema in our outpatients.Results In all the cases,the number of students who were hurt in the ball games was the most（48.13%）,secondly was hurt by boxing and bodies collisions（37.05%）,hurt in accidents and fireworks explosion was the third-most（14.82%）.Of the cases I and Ⅱlevel of hyphema was 90.12%.Blood absorpted in 1~3 days were 20 cases（19.05%）,in 4~6 days were 50 cases（47.62%）,in 7~10 days were 22 cases（20.95%）,in 1l~15 days were 7 cases（6.67%）,15 days were 6 cases（5.71%）.The eyes whose recovery vision 0.5 were 90 cases（85.71%）.Conclusions The character of the blunt traumatic hyphema of students was mainly hurt by ball games and body collisions and boxing;the traumatic condition was relatively light;usually treated in three hours;the complications were relatively less.Prevention and active treatment is important in blunt traumatic hyphema of students.