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目的:探讨间接性巩膜破裂伤(即隐匿性巩膜破裂伤)的误诊原因,以减少误诊率。方法:回顾性分析3例延误诊断、误诊的间接性巩膜破裂伤的临床资料。结果:1例因延误诊断20 d且继发眼内炎最终摘除眼球,余2例经手术探查作初期缝合及对症处置后抗炎、对症治疗,均保住患眼,但视力有不同程度的丧失。结论:详细采集病史、掌握眼球解剖结构、及时手术探查是提高正确诊断率的关键,即受伤后初期修复的时间是影响视力恢复的一个重要因素。
Objective: To investigate the causes of misdiagnosis of indirect scleral rupture (occult sclera rupture) to reduce the misdiagnosis rate. Methods: Retrospective analysis of 3 cases of delayed diagnosis, misdiagnosis of indirect scleral rupture of clinical data. Results: One case was diagnosed as delayed for 20 days and the endophthalmitis was finally removed. The other two cases were surgically probed for initial suture and symptomatic treatment. After the treatment, the eyes were preserved, but the visual acuity was lost to varying degrees . Conclusion: It is the key to improve the correct diagnosis rate by collecting the medical history, acquiring the anatomy of the eyeballs and exploring the eye in time. That is, the initial repair time after injury is an important factor that affects the recovery of vision.