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眼前段碱烧伤处理不当后果严重,往往导致失明。近年来,我们在临床工作中对Ⅱ°以上碱烧伤21例28眼进行了早期综合性治疗,其中Ⅱ°15眼,Ⅲ°11眼,Ⅳ°2眼,效果较好。 治疗方法 (1)结膜囊冲洗,24小时以内病人先清除结膜囊内致伤物,再用3％硼酸水冲洗,石灰烧伤则用0.37％EDTA-2Na液冲,液体不少于500ml;(2)Vit C应用:Vit C 0.1结膜下注射3～7天,Ⅲ°以上者用2g加入液体静滴5～7天;(3)自家血应用,全血1.0ml或血清0.5ml每周2次结膜下注射;(4)纯蜂蜜点眼,将纯蜂蜜煮沸冷却后2小时一次点眼可用2周左右;(5)Ⅲ°以上病人在结膜囊苍白区注射肝素375单位,妥拉苏林12.5mg,2～3次;(6)抗感染、散瞳、支持疗法及防治虹膜炎等。
Anterior segment alkali burn serious consequences, often lead to blindness. In recent years, we have carried out early comprehensive treatment of 21 cases of 28 cases of alkali burn with Ⅱ ° or more in clinical work. Among them, Ⅱ ° 15 eyes, Ⅲ ° 11 eyes and Ⅳ ° 2 eyes showed better results. Treatment methods (1) conjunctival washing, patients within 24 hours to clear the conjunctival sac wounds, and then 3% boric acid water rinse, lime burns 0.37% EDTA-2Na liquid red, liquid not less than 500ml; ) Vit C Application: Vit C 0.1 subconjunctival injection of 3 to 7 days, Ⅲ ° or more with 2g added liquid intravenous infusion of 5 to 7 days; (3) blood from the application of whole blood 1.0ml or serum 0.5ml twice a week Subconjunctival injection; (4) pure honey spotting, the pure honey boiling 2 hours after cooling a spot available for 2 weeks; (5) Ⅲ ° above the patient in the conjunctival sac pale area injection of heparin 375 units, 2 to 3 times; (6) anti-infection, mydriasis, supportive therapy and prevention and treatment of iritis.