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1 临床资料 本组共21例,其中男17例,女4例,男女之比约为4:1,21例均为单眼穿通伤,右眼12例,左眼9例。其中最小年龄为3岁1人,3岁以上儿童发病逐渐增多,6～7岁发病人数较多计13例。本组中以农村发病人数居多共16例。致伤物以锐器为多,有小刀、织针、铁钉以及树枝等。21例中有12例为自伤,1例鸟啄伤,1例狗咬伤,其余为他伤。绝大部分患儿能在伤后及时就诊,仅有1例伤后3天就诊。 治疗及结果,本组患儿行角巩膜裂伤缝合术18例,在外伤缝合术同时行外伤性白内障针吸术4例,伤后3个月内行白内障针吸术2例,眼球摘除术3例,其中1例为伤后3天就诊,入院时伤眼球内感染较重,前房大量积脓,经积极治疗,终因感染重,视力无光感,而行眼球摘除,另2例中1例为鸟啄,1例为狗咬伤,均因伤口大并有角膜缺损,眼内容物流失过多,失去光感而行眼球摘除。
1 Clinical data 21 patients in this group, including 17 males and 4 females, the ratio of men and women is about 4: 1,21 cases were monocular penetrating injury, 12 cases of right eye and left eye in 9 cases. Among them, the youngest was 3 years old and 1 child. The incidence of children aged 3 years and above gradually increased, and the incidence of 6 to 7 years old was more than 13 cases. In this group, the majority of rural patients in total 16 cases. Injuries to sharp as much, a knife, knitting needles, nails and branches and so on. Twelve of the 21 patients were self-inflicted, 1 had a bird pecking, 1 had a dog bite, and the rest was his injury. The vast majority of children with timely treatment after injury, only 1 case 3 days after injury treatment. Treatment and results, the group of children scleral laceration suture in 18 cases, traumatic suture in traumatic cataract needle aspiration in 4 cases, within 3 months after injury cataract needle aspiration in 2 cases, enucleation 3 Cases, of which 1 case of 3 days after injury, admission injury intraocular eye injury heavier, anterior chamber massive empyema, after aggressive treatment, the end result of infection, no visual acuity sense, and the line of eye removal, and the other 2 cases 1 case of bird pecking, 1 case of dog bites, both because of wounds and corneal defects, loss of content of the eye too much, lost the light perception and enucleation.