摘要
目的探讨农民工眼外伤的临床特点及防治方法。方法对广东佛山市乐从镇3720例(4160眼)农民工眼外伤患者的的致伤眼别、致伤地点、原因、眼部主要临床表现、并发症、视力、治疗方法及结果等因素进行统计分析。结果农民工眼外伤患者3720例(4160眼),男性3103例(3420眼),女性617例(740眼),男∶女=5.03∶1。患者年龄为16～60岁,平均年龄为25岁,受伤高峰年龄在16～45岁。受伤眼别以单眼伤为主。患者受伤地点主要发生在工作场所,受伤后至就诊的间隔时间平均为108h。在门诊诊治的3295例(3718眼)患者中,主要致伤原因是敲击或异物溅入伤,主要致伤性质为角结膜异物[2478眼(占66.65%)]。收住入院425例(442眼),总住院率为11.42%;其中,住院患者主要致伤性质为眼球穿通伤132眼(29.86%),其次为球(眶)内异物和外伤性白内障。住院后视力提高者198例(210眼),占47.51%。眼外伤所引起的并发症很多,以外伤性葡萄膜炎、白内障、屈光介质混浊最常见。结论农民工眼外伤大多数与工作有关,通过加强防护措施和提高防护意识是可以预防和避免的。
Objective To investigate the clinical features of ocular trauma and its prevention in migrant workers. Methods Among the migrant population in Leeong, 3720 workers （4160 eyes） experienced eye trauma. Records were taken of where and why the eye injuries occurred, major clinical manifestations, visual acuity, complications, treatment and outcomes. The information was statistically analyzed. Results Migrant workers with ocular trauma were hospitalized in 425 cases （442 eyes）. The overall hospitalization rate was 11.42%, with a male：female ratio of 5.34：1. Most of the patients were injured in the workplace, requiring an average treatment time of 108 hours. The main reasons for injury were a percussion injury or a foreign body splashed into the wound. The major injuries of 3295 patients （3718 eyes） cured in clinic were to the cornea and conjunctiva, accounting for 2478 eyes （66.65%）. One hundred and thirty-two patients （29.86%） were hospitalized mainly with a penetrating injury to the eyeball. Visual acuity improved in 198 cases （210 eyes） after hospitalization, a rate of 47.51%. Ocular trauma caused a multitude of complications, including traumatic uveitis, cataract and refractive medium turbidity. Conclusion Ocular trauma in migrant workers is mostly work related, and is preventable and avoidable.
出处
《眼视光学杂志》
2009年第4期299-302,共4页
Chinese Journal of Optometry & Ophthalmology
关键词
农民工
眼外伤
临床特点
migrant worker
ocular trauma
clinical features
