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Key words eye; blast injury; blind 【Key Words 1R779.1 Document code】【A】【article number 10035141 (2002) 03-016201 ocular blast injury is a more serious eye injury. Our hospital from 1991 to 2001, 146 patients were treated in l18 patients with ocular blast injury, are as follows. 1 were treated within clinical data 1Oa 17l1 eye injury cases, including 118 cases of ocular blast injury, accounting for 6.9, M 1O5 cases (89.0) and 13 females (11.0). ≤ 6 years in 5 cases (4.2),[link widoczny dla zalogowanych], 7 ~ 2O years 48 cases (40.7), 21 ~ 4O-year-old, 52 (44.1), 13 patients aged over 41 (11.0). Farmers in 46 cases (39.0), workers 29 (24.6), students 29 (24.6), the other 14 cases (11.8); monocular 9O cases (76.3), eyes in 28 cases (23 .7), the right eye 74 and left eye 72. A total of 11 kinds of material injury to firecrackers, explosives, detonators, guns more common, a total of 1O5 cases (89.0), the other 13 cases (11.0). Work injuries in 32 cases (27.1), non-labor injury 7O cases (59.3), other accidental injury in 16 cases (13.6). 2 Results 2.1 visual acuity of 135 documented cases: admission visual acuity: ≥ 0.3 in 9 eyes (6.7). 0.3 ~ 0.05 in 21 eyes (15.6), 0.3 ~ 0.05 in 21 eyes (15.6), 2.2 Complications l18 cases eyelid burns, laceration in 33 eyes, 35 eyes with conjunctival laceration and foreign body, foreign body and sclera 61 eyes, 21 eyes intraocular foreign body, orbital foreign body in a ball contusion 24 eyes, eyeball rupture 10 eyes, hyphema in 54 eyes, 8 eyes iris fracture, traumatic cataract in 39 eyes, vitreous hemorrhage in 8 eyes. 13 eyes with secondary glaucoma, endophthalmitis, 6. Received :2002-0328 Revised :200204-22 article Editor: OF SCIENTIFIC AND Author: 620,860 Four JIl Province 3 Pengshan County Hospital of discussion as far as I 1Oa eye hospital in the past cases of blast injury, has the following characteristics: ( 1) the high incidence of blast injuries reported in China accounted for 6.4 to 7.1 eye injuries, the county is 6.9, the vast majority were male; (2) occurred among the farmers, followed by workers and students ; (3) up to 11 physical injury to firecrackers, explosives, detonators, guns more common; (4) records a complete 135 visual acuity before and after treatment, lowering the rate of blindness vision group increased by more than 21 21.5.0.3 .4. As we all know, the eye in the blast injury is a serious eye injury in a comprehensive injury, related to the eye inside and outside the organization. Impact of which can cause the ball contusion hemorrhage, iris rupture, lens dislocation, retinal shock; eyelid and conjunctiva tissue burns and left eyelid deformities, symblepharon. Even more serious is penetrating eye injuries, intraocular foreign body or attached to the walls of the dense spherical foreign body, remove the difficulties in the former, the latter severe irritation, persistent disease course of time, visual acuity is not satisfactory, to the patient work, study and live with to great effect. The principle of explosion treatment of the eye: the timely processing of the wound, infection control, proper management of complications, strict control of enucleation indications, as far as possible to keep the eye recovery of visual function. First aid treatment: use of local materials in the field, immediately rinse with tap water or sterile water for eyes and face, eliminating the surface of foreign bodies,[link widoczny dla zalogowanych], especially the burnt hair and conjunctiva of the explosives and sediment particles, the wound dressing to stop bleeding, do not pressure in the eye. Hospitalization: (1) remove the foreign body: further clean the face and conjunctiva, and fully remove corneal foreign body under anesthesia care; (2) suture the wound: debridement as soon as possible. Injury IZl aligned,[link widoczny dla zalogowanych], stitched together the same depth to ensure good wound closure IZl; (3) ball hemorrhage: According to clinical observations,[link widoczny dla zalogowanych], anterior chamber blood volume of less than 1 / 2, 5 ~ 7d absorbed, does not affect vision; more than 1 / 2, or recurrent bleeding or blood clots are formed, absorbing more difficult, more complications, a greater impact on visual acuity, anterior chamber should be washed; (4) strictly control the indications of enucleation, as long as the eye off the contents not a lot of loss, wound closure is not very difficult, no matter how long the wound, injury or complex, there is no light perception, all should make every effort to be sutured. Prevent the occurrence of ocular blast injury, should be actively carried out propaganda and education, especially to promote the young generation does not play firecrackers, firearms and dangerous explosives; in the industrial and agricultural production, develop strict safety measures to prohibit private-made explosives, artillery and so on.
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