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目的探讨贵州省黔西南州少数民族地区儿童眼球穿孔伤临床特点,分析眼球穿孔伤的原因。方法对我科15年间291例(318眼)2～14岁儿童眼球穿孔伤进行回顾性分析。结果儿童眼球穿孔伤发生的年龄段主要集中在5～10岁,平均年龄6.8岁。农村儿童较多,男性多于女性,损伤重。绝大部分均须手术治疗。术后盲74眼占(26.06%)及低视力140眼(49.30%)。二者共占75.36%之多。结论儿童眼球穿孔伤大多伤势严重,没有及时到医院就诊,治疗结果较差。故必须加强宣传教育并且提高基层医院眼科医生眼外伤的认识和诊疗技术水平,才能提高儿童眼球穿孔伤的诊治水平。
Objective To investigate the clinical features of children’s perforation injury in the minority areas of Qianxinan Prefecture in Guizhou Province and analyze the causes of perforation injury. Methods The retrospective analysis of 291 cases (318 eyes) of 2-14 years old children with perforation of eyeball during 15 years in our department was performed retrospectively. Results The incidence of perforation in children was mainly in the age range of 5 to 10 years with a mean age of 6.8 years. More rural children, more men than women, heavy damage. The vast majority must be surgically treated. After operation, 74 eyes were blind (26.06%) and 140 eyes (49.30%) were low vision. The two together accounted for as much as 75.36%. Conclusion The majority of children with perforation injury serious injury, did not go to the hospital in time, the treatment result is poor. Therefore, it is necessary to step up publicity and education and raise awareness of ophthalmologists in primary grass-roots hospitals to improve the diagnosis and treatment of ocular trauma.