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眼球钝挫伤是临床最常见的眼外伤。发病突然,病因明确。由于视力损害和眼部损伤程度不同,就诊缓急不等等原因,其预后也不相同。笔者理将自1984年以来所收治的34例作一临床分析。 1 临床资料 1.1 本组共34例36眼。男31例,女3例;10岁以下5例,11～20岁18例,21～30岁8例,31岁以上3例。右眼15例,左眼19例,其中2例系双眼同时受伤。受伤到就诊时间:24 h以内就诊者8例,1周内就诊者16例,1周后就诊看9例,半年后就诊者1例。受伤原因:绝大数为他人击伤,自己误伤2例。他人击伤者以弹弓、砖石块占首位,共13例占38％,棍棒、铁器伤者8例,占23.5％,拳击伤、脚踢伤6例,占17.6％,其它如爆炸伤、鞭炮伤、车祸共5例,占14.7％。临床表现:见附表。
Eye contusion is the most common clinical eye injury. Sudden onset, the etiology clear. Due to the different degree of visual impairment and eye damage, the emergency waiting time and other reasons, the prognosis is not the same. The author from 1984 since the 34 cases were treated for a clinical analysis. 1 Clinical data 1.1 The group of 34 cases 36 eyes. 31 males and 3 females; 5 under 10 years of age, 18 cases of 11 to 20 years old, 8 cases of 21 to 30 years old, 3 cases of 31 years of age or older. 15 cases of right eye and 19 cases of left eye, of which 2 cases were both eyes injured. Injured to the treatment time: 8 cases within 24 hours of treatment, 16 cases within 1 week of treatment, a week after treatment, 9 cases, 1 case after six months of treatment. Cause of injury: the vast majority of others wounded, accidentally injured in 2 cases. Others hit the slingshot with slingshots, masonry blocks accounted for the first place, a total of 13 cases accounted for 38%, sticks, iron wounding in 8 cases, accounting for 23.5%, boxing injury, kick injury in 6 cases, accounting for 17.6% Firecrackers, a total of 5 cases of car accidents, accounting for 14.7%. Clinical manifestations: See Schedule.