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目的研究儿童钝挫伤所致前房出血最佳的治疗措施。方法采用双盲随机法将107例(121眼)患者分为4个治疗组,A 组全身应用止血环酸,B 组全身应用止血环酸+肾上腺皮质激素,C 组全身应用止血环酸+局部肾上腺皮质激素眼水,D 组复方托品酰胺眼水+局部肾上腺皮质激素眼水。结果全身应用止血环酸组较其他组前房出血吸收时间明显缩短,并发症明显减少,T 检验P<0.01,差异具有显著性。结论安静卧床,全身应用止血剂,早期避免使用肾上腺皮质激素和散瞳剂是治疗儿童钝挫伤所致前房出血的最佳措施。
Objective To study the best treatment of anterior chamber hemorrhage caused by children’s blunt trauma. Methods A total of 107 patients (121 eyes) were divided into 4 groups according to a double-blind randomized method. Group A was given systemic tranexamic acid, Group B was given tranexamic acid and adrenocorticotropic hormone, Group C was given tranexamic acid + Corticosteroid eye water, D group compound tropicamide eye water + local adrenocorticotropic eye water. Results systemic application of tranexamic acid group than other groups of anterior chamber hemorrhage absorption time was significantly shortened, complications significantly reduced, T test P <0.01, the difference was significant. Conclusions Quiet bed rest, systemic application of hemostatic agents, early avoidance of corticosteroids and mydriatic agents are the best measures for the treatment of children with blunt trauma due to anterior chamber hemorrhage.