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前房出血是眼外伤常见的并发症,若处理不当可致严重后果,如继发性青光眼、角膜血染等.现将1年来应用甘露醇和维脑路通联合治疗挫伤性前房出血23例报告如下:一般资料(1)性别与年龄:23例中男18例,女5例.年龄5~15岁9例,16~25岁7例,26~50岁7例.(2) 眼别:右眼15例,左眼8例.(3)致伤原因:弹弓伤3例、拳击伤9例、土块、石头、砖块伤5例、棍棒伤6例.(4)前房出血分类:根据Oksala的分类法,前房积血量,不到前房容积的1/3,位于瞳孔缘之下者为1级;占前房容积的1/2,超过瞳孔下缘者为2级;超过前房容积1/2以上,甚至充满整个前房者为3级.1级11例,2级9例,3级3例.
Anterior chamber hemorrhage is a common complication of ocular trauma, if not handled properly can have serious consequences, such as secondary glaucoma, corneal blood stained, etc. Now 1 year application of mannitol and Venoruton joint treatment of contusion hyphema 23 cases The report is as follows: General information (1) gender and age: 23 cases of 18 males and 5 females, aged 5 to 15 years in 9 cases, 16 to 25 years in 7 cases, 26 to 50 years in 7 cases. : 15 cases of right eye and 8 cases of left eye. (3) Causes of injury: 3 cases of slingshot injury, 9 cases of boxing injury, 5 cases of soil block, stone and brick injury, 6 cases of stick injury. (4) Classification: According to Oksala’s classification, the amount of anterior chamber hemorrhage, less than 1/3 of the anterior chamber volume, located below the pupil margin is 1; accounting for anterior chamber volume of 1/2, over the lower edge of the pupil 2 Level; more than 1/2 more than the anterior chamber volume, and even filled the entire anterior chamber were 3. 11 cases of grade 1, grade 2 in 9 cases, grade 3 in 3 cases.