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目的:回顾过去1a,德黑兰转诊眼科中心穿通性眼外伤的发病特征,并发症和流行病学。方法:调查2002年伊朗德黑兰Farabi眼科医院的959例眼外伤住院患者的医疗记录,记录信息包括人口统计资料(年龄,性别和所从事职业),受伤原因,伤口类型,最初视力,受损部位,伴随症状和体征以及所采取的治疗方式。结果:患者的平均年龄是(22.6±16.4)a,男性患者的年龄峰值为21～25a,女性患者为小于5a。男女性别比例为4.2∶1。62.4%的患者为穿通伤,33.9%的患者为钝挫伤,3.7%的患者为混合伤或化学烧伤。金属物是造成眼球穿通伤的最常见原因,与之相比,石块是眼钝挫伤最为常见的原因。在23.4%的病例中发现了异物,最常见的破裂部位为角膜(46.7%)。结论:本研究认为,穿通伤较钝挫伤常见,年轻人更易发生眼外伤,角膜是最常见的损伤部位。
OBJECTIVE: To review the incidence, complications and epidemiology of traumatic ocular trauma in the referral center of Tehran in the past 1 years. METHODS: The medical records of 959 hospitalized patients with ocular trauma at the Farabi Eye Hospital in Tehran, Iran, in 2002 were recorded. The recorded information included demographic data (age, sex and occupation), the cause of the injury, the type of wound, initial visual acuity, damaged site, Accompanied by symptoms and signs and the treatment taken. Results: The mean age of patients was (22.6 ± 16.4) years. The peak age of male patients was 21-25 years and that of female patients was less than 5 years. The ratio of male to female was 4.2: 1.62. The patients were penetrating injuries, 33.9% were blunt trauma, and 3.7% were mixed or chemical burns. Metal objects are the most common cause of eyeball traumas, and stone is the most common cause of eye trauma. Foreign body was found in 23.4% of cases, the most common rupture was cornea (46.7%). CONCLUSIONS: This study suggests that penetrating wounds are more common than blunt contusion and that young people are more prone to ocular trauma. Corneal is the most common site of injury.