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目的 为了解眼车祸伤的发病情况、临床特点及致盲情况 ,更好地挽救伤者的视功能。方法 就我院32 6例 (384只眼 )眼车祸伤病人的临床特点及影响因素进行分析。结果 本组眼车祸伤的发生率占同期事故伤的10 5 4% ,以眼球钝挫伤为主 ;临床主要并发症以葡萄膜炎和视网膜震荡最高 ,致盲率为 4 6 7% ,男性青壮年中的工人、农民及司机为高危人群 ;影响因素与酒后驾驶、疲劳驾驶、恶性气候条件、小型机动车辆、交通高峰期、险要路段有关。结论 首先针对车祸发生的原因 ,减少或避免其发生 ;第二是眼车祸伤多为复合伤 ,易误诊致盲 ,外科医生必须重视眼外伤的早期会诊。
Objective To understand the incidence of eye injury accident, clinical features and blindness, to better save the injured visual function. Methods The clinical features and influencing factors of 326 cases (384 eyes) of car accident patients in our hospital were analyzed. Results The incidence of eye car injury in this group accounted for 105.4% of the accidental injuries in the same period, with eye contusion; the main clinical complications were the highest uveitis and retinal shock with a blinding rate of 46.7% The workers, peasants and drivers in primeval age are at high risk; the influencing factors are related to drunk driving, fatigue driving, severe weather conditions, small motor vehicles, traffic peaks, and dangerous road sections. Conclusions First of all, aiming at the causes of car accidents, reduce or avoid the occurrence of car accidents. The second is that car accidents are mostly complex injuries and are easily misdiagnosed and blinded. Surgeons must pay attention to the early consultation of ocular trauma.