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目的探讨挫伤性前房出血的有效治疗方法。方法总结90例挫伤性前房出血的治疗情况,对90例(90眼)挫伤性前房出血及时采用中西医结合治疗。结果一级前房出血40例,二级出血35例,三级出血15例;其中继发性青光眼2例,角膜血染1例。经过药物和手术治疗,前房出血患者全部于1～15d吸收,继发性青光眼保守治疗成功2例,且眼压于2～6d降至正常,1例行前房穿刺冲洗后眼压恢复正常。结论挫伤性前房出血经有效治疗可使病情缓解或治愈,且视力可有明显恢复。
Objective To investigate the effective treatment of contusion hyphema. Methods The treatment of 90 cases of contusion hyphema were summarized and 90 cases (90 eyes) of contusion hyphema were treated with integrated Chinese and western medicine. Results In the first grade, there were 40 cases of anterior chamber bleeding, 35 cases of secondary bleeding and 15 cases of tertiary bleeding. Among them, 2 cases of secondary glaucoma and 1 case of corneal blood stained. After drug and surgical treatment, all patients with anterior chamber hemorrhage were absorbed in 1 ~ 15 days, 2 cases were treated with conservative treatment of secondary glaucoma, and IOP decreased to normal from 2 ~ 6 days, and 1 case returned to normal after punctured with anterior chamber puncture . Conclusion Effective treatment of contusion hyphema can relieve or cure illness, and visual acuity can be significantly recovered.