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目的提高钝挫伤前房积血的诊病水平。方法对56例病人(56只眼)进行了治疗及回顾性研究。结果20~29岁为最易致伤年龄段人群;外伤性散瞳发生率居内眼并发症第1位;外伤性虹膜睫状体炎可能被掩盖;房角受损伤者超过11%;继发前房出血病人与未继发出血者的视力预后间无显著性差异;伤及眼后节病人的视力愈后差,一般小于0.3。结论继发前房出血可能不会影响视力愈后,而真正有较大影响的是后节的病损;钝挫伤前房积血的发生不是孤立的,往往与多种眼组织损伤并存
Objective To improve blunt traumatic hyphema diagnosis and treatment. Methods 56 patients (56 eyes) were treated and retrospectively studied. The results of 20 to 29 years of age for the most vulnerable age groups; traumatic mydriasis incidence of intraocular complications ranked No. 1; traumatic iridocyclitis may be covered; corner damage more than 11%; following Hair anterior chamber hemorrhage patients and no secondary hemorrhage were no significant differences in prognosis of vision; injured eyes and posterior segment of patients worse visual acuity, generally less than 0.3. Conclusions The secondary hyphema may not affect the recovery of visual acuity, but the real prognosis is the lesion of posterior segment. The incidence of blunt hyphema is not isolated, often associated with multiple ocular tissue injuries