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目的 总结眼部雷管爆炸伤的临床特点,为防盲和眼外伤防治提供参考资料。方法 回顾性研究11年间连续收治的眼部雷管爆炸伤住院患者609例,调查登记,收集整理临床资料,输入眼外伤系统分析处理。结果 患者中男性560例(占92.0％)是女性的11倍,且以少年学生和青年工人、农民居多。致伤原因多为违规操作或意外事故导致雷管爆炸。眼部爆炸伤多为复合性损伤,本组病例中约98.8％伴有眼内异物或/和眶内异物,主要并发症有玻璃体浑浊、白内障、PVR、眼内出血等,眼球萎缩达23.3％。在784只受伤眼中盲目率为71.9％,其中双眼伤175例的致盲率为37.1％;单眼盲总共430例是双眼盲的6倍多。结论 眼部雷管爆炸伤发生突然,对眼部组织和面容及视力损伤惨重,伤情复杂,并发症多,临床处理困难,应当引起政府、社会和全民的重视。
Objective To summarize the clinical features of eye detonator blast injury and provide references for the prevention of blindness and ocular trauma. Methods A retrospective study of 60 consecutive inpatients with eye detonator explosion injured over the past 11 years was enrolled in the study. The clinical data were collected and analyzed, and the eye trauma system was analyzed and treated. Results Among 560 males (92.0%) were 11 times as many females, they were mainly juveniles, young workers and peasants. The cause of injury are mostly illegal operations or accidents lead to detonators explode. Ocular blast injury and more for the composite injury, about 98.8% of the cases associated with intraocular foreign body or / and orbital foreign body, the main complications of vitreous opacity, cataract, PVR, intraocular hemorrhage, eye atrophy up to 23.3%. In 784 injured eyes, the blindness rate was 71.9%. The blinding rate of 175 eyes with bilateral injuries was 37.1%. A total of 430 eyes with monocular blindness were more than 6 times blind eyes. Conclusions The explosion of eye detonator suddenly occurs. It has serious damage to the eye tissue, face and eyesight, complicated injury, complicated complications and difficult clinical treatment, which should arouse the attention of the government, society and the whole people.