开放性眼外伤致外伤性白内障的临床特征
Clinical characteristics of traumatic cataract in patients with open globe injury
宋虎平 1陈涛 1朱昭亮 1李春花 1段鹏1
作者信息
- 1. 西安市人民医院(西安市第四医院)眼科 陕西省眼科医院,西安 710004
- 折叠
摘要
目的 分析开放性眼外伤致外伤性白内障患者的临床特征.方法 横断面研究.纳入陕西省眼科医院眼外伤中心 2018 年 1 月至 2020 年 4 月住院治疗的开放性眼外伤致外伤性白内障的患者,总结其临床特点.结果 共纳入 685 例(685 眼)患者,均为单眼外伤,男女比例 5.7∶1(男性583 例,女性 102 例),年龄(41.2±18.0)岁,其中 19～59 岁者占 72.55%(497 例),长期居住在农村者占 74.89%(513 例).按眼外伤分类和分区,常见的是穿孔伤(277 例,40.438%)和Ⅰ区(399 例,58.25%).锐器(228 例,33.28%)、高速飞溅物(164 例,23.94%)、钝器(148 例,21.61%)及植物(52例,7.59%)是 4 类主要致伤原因,占比合计 86.42%(592/685).按受伤等级划分,4 级(光感～0.02)的占比大(488 例,71.24%).患者的伤后就医时间为 10(18)h.374 例(54.60%)患者并发了眼后段组织损害,其中并发玻璃体积血 357 例(52.12%)、视网膜脱离 287 例(41.90%)、脉络膜脱离 136 例(19.85%).结论 开放性眼外伤并发外伤性白内障的住院患者,常见单眼受累,以中青年男性为主,多长期居住于农村,穿孔伤和Ⅰ区的占比高,锐器是最常见的致伤原因,伤情重,并发症多,且易并发眼后段组织损伤,但绝大多数患者能在伤后 24 h内就医.
Abstract
Objective To analyze the clinical characteristics of traumatic cataract in patients with open globe injury.Methods This was a cross-sectional study.The data from patients with open globe injury complicated with traumatic cataract who were hospitalized at the Eye Trauma Center of Shaanxi Eye Hospital from Jan.2018 to Apr.2020 were analyzed,and the clinical characteristics were summarized.Results A total of 685 patients(685 eyes)were included,all of whom had monocular trauma,with a male to female ratio of 5.7∶1(583∶102),aged(41.2±18.0)years.Among them,497 cases(72.55%)were aged from 19 to 59,and 513 cases(74.89%)of the patients were from rural areas.Depending on the classification and zoning of eye injuries,perforated injuries(277 cases,40.438%)and injuries located in zone Ⅰ(399 cases,58.25%)were common.Sharp objects(228 cases,33.28%),high-speed splashes(164 cases,23.94%),blunt objects(148 cases,21.61%)and plants(52 cases,7.59%)were the four main causes of injury,accounting for a total of 86.42%(592/685).As for the injury grading,the highest proportion(488 cases,71.24%)was grade 4(light perception-0.02).The average time for patients seeking medical treatment after injury was 10(18)hours.The complications were numerous,with 54.60%(374 cases)of patients complicated with posterior ocular tissue damage,including 357 cases(52.12%)of vitreous hemorrhage,287 cases(41.90%)of retinal detachment,and 136 cases(19.85%)of choroidal detachment.Conclusion Patients hospitalized with open globe injury and traumatic cataracts typically present with unilateral involvement,predominantly comprising middle-aged and young males from rural areas.A high proportion of injuries are perforation and injuries located in zone Ⅰ.Sharp objects are the primary cause.These eye injuries are often severe,with numerous complications,and often lead to damages to the ocular posterior segment tissues.The vast majority of patients are able to seek medical aid within 24 hours following their injury.
关键词
外伤,眼,开放性/白内障,外伤性/特征,临床Key words
Trauma,ocular,open globe/Cataract,traumatic/Characteristics,clinical引用本文复制引用
出版年
2024
NETL
NSTL
万方数据