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目的：分析栗刺致眼外伤的流行病学特点及临床特征，探讨其急救处理方法。方法回顾2011年9月~2014年10月4年内迁西县人民医院五官科收治的栗刺致眼外伤患者临床资料，对患者的性别、年龄、伤后就诊时间、眼外伤特点以及所出现的并发症状逐一详细分析，并探讨急诊救治的处理方式。结果调查期间内共收治栗刺致眼外伤患者1155例，青中年男性为主要患病群体，占87.44%，51.81%的患者在24 h内就诊。患者眼部损伤程度与栗刺异物数量、深度有关。眼外伤多以角巩膜异物为主，可伴随并发角膜细菌或真菌感染、外伤性白内障、前房出血、虹膜损伤等。根据异物所在的位置及深度采取不同的处理方式。结论栗刺性眼外伤以异物伤为主，可导致严重的并发症，应及时就诊，如伤后就诊时间高于24 h，并发症发生几率会明显增加。药物与手术联合治疗是患者最有效的治疗方法。“,”Objective To analyze the epidemiological and clinical features and emergency treatment of ocular trauma caused by chestnut thorn(s). Methods The medical data of 1155 cases of ocular trauma caused by chestnut thorns were analyzed. Results 1007 cases occurred in September(87.19%), and 148 cases occurred in October (12.81%). 87.44%of the patients were middle-aged and young males. 51.81%of the patients visited the hospital within 24h after injury. The degree of injury was related to the amount and penetration depth of the chestnut thorn(s). The main symptom was corneal and/or scleral foreign bodie(s), and the complications included bacterial or mycotic corneal infection, traumatic cataract, anterior chamber bleeding, iris injury, etc. The treatment included removal of the foreign bodies, use of eye drops of antibiotics or recombinant human epidermal growth factor, or deproteinized calf blood extract eye gel, etc. Conclusion The high-incidence season of ocular injury caused by chestnut thorn is the harvest time of chestnut (September and October). Such a trauma is seen mostly in young adults. Early diagnosis and treatment promise a good prognosis.