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目的探讨眼球穿通伤的治疗时机及治疗方法。方法采用回顾性分析的方法对广东省揭阳市揭东县新亨中心卫生院近几年来收治的60例眼球穿通伤患者的治疗进行总结。结果 65眼中挽救眼球62眼,3眼破坏严重行眼内容摘除,到目前为止,无一例发生交感性眼炎,治疗后大部分获得有用视力,在出院后3~6个月随访中,眼球萎缩2眼,有较大角膜白斑3眼,经治疗提高视力49眼75.38%。结论眼球穿通伤后及时正确的处理能修复眼球,使穿孔破裂的眼球恢复外形并提高视力减少盲眼的发生。
Objective To investigate the treatment timing and treatment of penetrating eyeball. Methods The retrospective analysis was used to summarize the treatment of 60 cases of penetrating traumatic eye injury admitted to Xinheng Central Hospital of Jiedong County, Jieyang City, Guangdong Province in recent years. Results In the 65 eyes, 62 eyes were saved and 3 eyes were severely damaged. So far, none of them had sympathetic ophthalmia. Most of the patients got useful eyesight after treatment. During 3 to 6 months after discharge, the atrophy of the eyeball 2 eyes, 3 eyes with larger corneal leukoplakia, improved visual acuity after treatment by 49 eyes 75.38%. Conclusion Eye penetrating injury timely and correct treatment can repair the eye, the perforation ruptured the eye to restore shape and improve visual acuity to reduce the incidence of blindness.