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驻黎维和中国二级医院第七批51例眼外伤临床分析

Clinical analysis of ocular trauma in 51 cases in 7th term of Chinese level Ⅱ hospital for peacekeeping in Lebanon
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摘要 目的分析联合国驻黎巴嫩临时维和部队(UNIFIL)中国二级医院眼科眼外伤的致伤原因、特点,以预防和减少眼外伤的发生。方法对UNIFIL中国二级医院眼科第七批医疗队2011年3月1日~10月20日任务期内眼科门诊及住院眼外伤患者病例进行回顾性分析。结果 51例(55眼)眼外伤中,男46例,女5例;年龄9~48岁,平均30.15岁;右眼25例,左眼22例,双眼4例;维和军人34例,当地及国际雇员16例,当地学生1例;国籍:黎巴嫩16例,西班牙9例,法国6例,尼泊尔4例,中国3例,坦桑尼亚3例,韩国3例,马来西亚2例,葡萄牙2例,意大利1例,德国1例,印度1例;受伤至就诊时间:24 h以内30例,1~7 d 17例,7 d以上4例;受伤分类:眼球钝挫伤占45.09%,其他各类眼外伤(如电光性眼炎、角膜结膜异物、角结膜烫伤化学烧伤、角膜擦伤等)占54.91%;受伤原因:工作中受伤30例,运动中受伤7例,拳击伤6例(均为外国军人),各种意外伤7例。在二级医院接受治疗48例(门诊43例,住院治疗5例),1例角膜白斑未治,送三级医院遣返回国手术治疗2例。结论眼外伤是维和人员常见的眼病,应加以重视并积极预防,一旦发生,及时到专科诊治,减少并发症的发生。 Objective To analyze the causes and characteristics of ocular trauma in Chinese level Ⅱ hospital for peacekeeping in Lebanon,and to prevent the occurrence of ocular trauma.Methods Retrospective analysis was made in the outpatients and inpatients in the 7th term of medical corps of Chinese level Ⅱ peacekeeping hospital from March 1,2011 to October 20,2011.Results Among the 51 cases of ocular trauma(55 eyes),there were 46 male ones and 5 female ones aged from 9-48 years old(averaged 30.15).The ocular trauma was in right eye in 25 cases,in left eyes in 22 ones and in both eyes in 4 cases.Thirty four cases were peacekeeping soldiers;16 were local and international employees;1 was a local student.Their nationality included Lebanon(16 cases),Spain(9 cases),France(6 cases),Nepal(4 cases),China(3 cases),Tanzania(3 cases),South Korea(3 cases),Malaysia(2 cases),Portugal(2 cases),Italy(1 case),Germany(1 case)and India(1 case).The time from injury to visiting hospital in 30 cases was within 24 h;17 cases was 1-7 d and 4 cases was longer than 7 d.Blunt and contused trauma of eyeball accounted for 45.09%,and other kinds of ocular trauma accounted for 54.91%(such as electric ophthalmia,corneal and conjunctival foreign body,scald and chemical burn of cornea and conjunctiva and corneal abrasion,etc).The causes of injury included work(30 cases),exercising(7 cases),boxing(6 cases,all were foreign soldiers)and other accidental trauma(7 cases).48 cases received the treatment in the level Ⅱhospital(43 outpatient ones and 5 ones with hospitalization),1 case with corneal leukoma was not treated and 2 cases were sent to the level Ⅲ hospital and repatriated to their own countries for operation.Conclusion Ocular trauma is the most common disease in peacekeeping personnel,which should be paid much attention and prevented actively.Once occurred,this injury should be diagnosed and treated in specialist departments in order to diminish the occurrence of complications.
出处 《西南国防医药》 CAS 2012年第3期273-275,共3页 Medical Journal of National Defending Forces in Southwest China
关键词 外伤 维和医院 疾病谱 分析 eye external injury peacekeeping hospital spectrum of disease analysis
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