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1.早就医、早治疗 角膜麦芒伤就诊时间的早晚,与治疗的效果关系极其密切.据祝氏报道,在169例角膜稻谷伤(包括角膜麦芒伤)患者中,伤后48小时以内就诊者70例,其中发生角膜溃疡者13例,占18.57%;伤后48小时以后就诊者99例,发生角膜溃疡者72例,占72.73%.在这72例角膜溃疡中,伴有前房积脓者38例.可见,就诊时间越早,治疗越及时,继发感染的发生率越低,预后越好.2.细心检查,彻底清除麦芒异物 在角膜麦芒伤治疗中,清除麦芒异物是一个十分重要的问题.据我们观察,在角膜麦芒伤中,有麦芒异物者约占三分之一.而麦芒异物存留是继发角膜溃疡甚至前房积脓的主要原因.在诊治中要注意以下几个方面:①提高警惕,细心检查.即对来诊的每例角膜麦芒伤患者,都要首先想到有无角膜麦芒异物的存在.然
1. Early treatment, early treatment of corneal wound injury sooner or later, and the effect of treatment is extremely close.I wish to report, in 169 cases of corneal rice injury (including corneal wound injury) in patients within 48 hours after injury 70 cases, including corneal ulcer in 13 cases, accounting for 18.57%; 48 hours after injury, the treatment of 99 cases, corneal ulcer occurred in 72 cases, accounting for 72.73% .In these 72 cases of corneal ulcer, accompanied by empyema 38 cases.Finally, the earlier the treatment time, the more timely treatment, the lower the incidence of secondary infection, the better the prognosis.2.Conscious examination, complete removal of foreign material in the treatment of corneal wheat injury, removal of foreign wheat foreign material is a very Important issue.According to our observation, in the corneal wheat injury, there are about one-third of the wheat foreign body, while the foreign body retention is secondary to corneal ulcers or empyema empyema the main reason in the diagnosis and treatment should pay attention to the following Aspects: ① vigilance, careful examination, that is, every case of visiting patients with corneal trauma, must first think of the existence of corneal foreign matter.