摘要
目的:探讨外伤性Ⅳ级前房积血的治疗方法。方法:对1996年1月至2008年8月收治的65例外伤性Ⅳ级前房积血患者资料进行回顾性分析。结果:65例患者入院时均为盲目,治疗后45眼脱盲,但仍有20例(30.77%)为盲眼。继发青光眼49例,保守治疗治愈11例,前房冲洗治愈21例,其它抗青光眼手术治愈15眼,结论:伤后及时入院及得到正确处理施治是减少致盲率的有效措施,而外伤性前房积血实行前房切开冲洗手术时机的选择应根据患者病情、入院迟早、因人而异的眼压耐受性等,临机处置,对入院时无光感的病例,应及时手术,以期抢救视功能。
Objective：To explore the effective treatment method of traumatic hyphema. Methods：Between Jan. 1996 to Aug. 2008, the data of 65 cases with traumatic hyphema in grade Ⅳ were analyzed retrospectively. Results ： Visions of all cases were lost on admission, 45 eyes were improved after treatment, and 20 cases（30. 77% ）were blind. Secondary glaucoma were in 49 cases, 11 were cured after conservative treatment, 21 cases were cured after irrigation of anterior chamber and 15 cases were cured after anti - glaucoma operation. Conclusion：Early admission and in time correct treatment are the effective producers of decreasing blindness rate of grade Ⅳ traumatic hyphema. The timing of operation of irrigation of anterior chamber should be determined by patient＇ s condition, the time of admission, intraocular pressure and other factors. The hyphema case without light perception should be operated on timely to rescue visual function.
出处
《现代临床医学》
2009年第1期42-43,共2页
Journal of Modern Clinical Medicine
关键词
眼外伤
前房积血
治疗
ocular trauma
hypbema
treatment
