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目的探讨玩具枪子弹致眼外伤的治疗和预后。方法回顾性分析64例(64眼)玩具枪子弹击伤的临床资料。结果玩具枪击伤眼部的致伤物大部分为塑料子弹,常见的并发症有角膜挫伤、外伤性前房积血、继发性青光眼、外伤性白内障及角膜血染等,积极治疗可避免严重的视力损害。结论加强自身防护限制高能量玩具枪的生产,早治疗、早包扎、早降眼压、抗感染及促进积血的吸收,根据病情及时手术,可有效的减少并发症,恢复视力。
Objective To investigate the treatment and prognosis of eye injuries caused by toy gun bullets. Methods A retrospective analysis of 64 cases (64 eyes) toy gun bullet wounds clinical data. Results The toy gunshot wound eye injury mostly plastic bullets, common complications are corneal contusion, traumatic hyphema, secondary glaucoma, traumatic cataracts and corneal blood stained, etc. Active treatment can be avoided serious Eye damage. Conclusion Strengthening self-protection limits the production of high-energy toy guns, early treatment, early dressing, early lowering of intraocular pressure, anti-infection and promotion of blood absorption, according to the disease timely surgery, which can effectively reduce complications and restore vision.