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目的为了进一步提高医疗诊治水平,探讨对外伤性前房积血的治疗效果。方法对外伤性前房积血采取双眼包扎、半卧位、交替两侧卧位,药物治疗及前房冲洗术。结果96眼外伤性前房积血经治疗后,48眼中11眼出现继发性前房积血,其中8眼进行了前房冲洗术。2眼视力≤0.03,4眼视力0.04～0.1之间,6眼视力0.12～0.5之间,36眼患者视力恢复≥0.6。结论原发性前房积血要比继发性前房积血的治疗效果好,而导致视力低下原因往往有其他眼内组织损伤,外伤性白内障、晶状体脱位、玻璃体积血以及视网膜脱离等。掌握好手术时机是防止各种并发症关键之一。
Objective To further improve the level of medical diagnosis and treatment to explore the treatment of traumatic hyphema. Methods Traumatic hyphema was taken with binocular dressing, semi-recumbent position, alternate lateral position, drug treatment and anterior chamber irrigation. Results After 96 eyes of traumatic hyphema were treated, 11 of 48 eyes developed secondary hyphema, of which 8 eyes had anterior chamber flushing. 2 visual acuity ≤ 0.03, visual acuity of 0.04 to 0.1, 6 visual acuity of 0.12 to 0.5, 36 eyes visual acuity ≥ 0.6. Conclusions Primary hyphema is more effective than secondary hyphema, which may lead to other intraocular tissue damage, traumatic cataract, lens dislocation, vitreous hemorrhage and retinal detachment. Grasp the timing of surgery is to prevent a variety of complications one of the keys.