外伤性前房积血88例疗效分析

目的:探讨外伤性前房积血的治疗时机和治疗措施。方法:回顾总结分析我院2009-06/2011-06收治的88例96眼外伤性前房积血的原因。临床表现、药物、手术治疗效果等临床资料。结果:积血吸收时间:2d内吸收者56眼,3～7d内吸收者31眼,8～14d吸收者8眼,14d以上仍未吸收者1眼。Ⅰ级和Ⅱ级前房积血的视力恢复较满意,Ⅲ级前房积血视力恢复不理想。结论:采取及时、合理的药物治疗,把握恰当的手术时机、选择正确的手术方法,促进积血吸收,防止再出血和并发症的发生是治疗的关键。

Clinical analysis on the treatment of 88 cases of traumatic hyphema

AIM： To investigate the best opportunity and therapy measures for traumatic hyphema. ~ METHODS： .The clinical data of 88 patients（96 eyes） from Jun. 2009 to Jun. 2011 with traumatic hyphema were analyzed retrospectively. RESULTS： Hyphema was absorbed with in 2 days in 56 eyes, from 3 days to 7 days in 31 eyes, from 8 days to 14 days in 8 eyes and over 14 days in 1 eye. Visual acuity recovered satisfactorily in traumatic hyphema with level Ⅰand level Ⅱ, but unsatisfactorily in level Ⅲ. CONCLUSION： Treating immediately and rationally, operating correctly with best opportunity, enhancing the hemorrhage re-absorption and preventing re-bleeding and other complications, are the key for traumatic hyphema.