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植物性角膜异物在农村发生率较高,我院1989～1991年治疗47例,分析报告如下:临床资料:47例中男19例占40.4%,女28例占59.6%.右24眼占51%,左23眼占49%.均为单眼受伤.患者以农民为多,工人也为家居农村者,均直接从事农业劳动.受伤均为夏秋2季,其中夏季3例占6.38%,秋季44例占93.62%.在为小麦、水稻脱粒时籽粒飞溅损伤眼部.夏季3例为小麦麦芒,秋季44例为水稻外壳之芒刺.异物数量不等,3～5个32例,6～8个14例,12个1例.伤后1～3天就诊者34例,6～11天12例,180天1例.治疗:均于门诊直接检查,发现异物后用1%地卡因行伤眼表面麻醉3次,在裂隙灯显微镜下以异物针或注射针头取出异物,其异物及角膜组织碎片行涂片检查及真菌培养.伤眼常规使用抗生素眼液、眼膏后包扎.47例经门诊治疗而痊愈.真菌学检查均为阴性.异物损及角膜实质层者,原伤处遗留细小白点状混浊,对视力无影响.无继发性角膜病变发生.
Incidence of plant corneal foreign bodies in rural areas higher in our hospital from 1989 to 1991, treatment of 47 cases, the analysis is as follows: Clinical data: 47 cases of male 19 cases accounted for 40.4%, female 28 cases accounted for 59.6%. Right 24 eyes accounted for 51 %, The left 23 eyes accounted for 49% .All the monocular injuries.As farmer as farmer, workers are also home rural areas, are directly engaged in agricultural work.All injuries were in summer and autumn 2, of which 3 cases in summer accounted for 6.38% in autumn 44 In the case of wheat and rice threshing, the grain splash damaged the eyes, and in summer 3 cases were wheat and in autumn 44 cases were prickles of rice shell.The number of foreign bodies ranged from 3 to 5 in 32 cases and from 6 to 8 A case of 14 cases and a case of 12 cases.Postoperative 1 to 3 days 34 patients were treated, 12 cases of 6 to 11 days, 180 cases in 1. Treatment: All were directly examined in the clinic and found that foreign body with 1% The injured eyes were anesthetized three times, and foreign bodies were removed with a foreign body needle or an injection needle under a slit lamp microscope, smears and fungi cultures of the foreign body and the corneal tissue were smeared, and antibiotic eye drops and ocular ointment were conventionally used in the injured eyes. The clinic cured and cured. Mycology tests were negative. Foreign body damage and corneal parenchyma, the original injury at the small white spots left turbid, no effect on visual acuity. No secondary Membrane lesions.