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[荷兰眼科医生治疗的2008/2009年新年烟花致伤病例]

[Fireworks injuries treated by Dutch ophthalmologists New Year 2008/'09].

作者信息

de Faber Jan Tjeerd H N

出版信息

Ned Tijdschr Geneeskd. 2009;153:A507.

PMID:20051178
Abstract

OBJECTIVE

To list and describe eye injuries caused by consumer fireworks around New Year 2008/'09.

DESIGN

Descriptive study.

METHODS

All members of the Netherlands Society of Ophthalmology (NOG) were called upon by the board to register all the firework-related eye injuries they treated between 27 December 2008 and 4 January 2009. As well as several details about the patient, type of firework, nature of the accident, type and severity of injury, and treatment were registered.

RESULTS

In total, 95% of ophthalmologists on duty at the turn of the year sent in registration forms. They treated and registered a total of 268 patients with 315 eye injuries caused by fireworks. 56 % of patients were bystanders. Most victims were male. 59% (n = 158) of patients were minors (3-17 years); the majority were 10-15-year-old boys. One third of the eyes (n = 99) sustained permanent damage. In 47 eyes the extent of the damage was such that it led to irreversible loss of vision, and in 24 eyes to complete loss of vision. 15 of these 24 eyes were surgically removed. 'Bangers' caused most injuries, but rockets caused the most serious injuries.

CONCLUSION

On medical grounds the NOG believes that the current policy of tolerance regarding fireworks makes the risk of eye injuries to which the Dutch population is exposed, too high. As long as consumer fireworks are allowed, the NOG advises that protective polycarbonate glasses be worn while lighting and watching of fire-works.

摘要

目的

列出并描述2008年/09年新年期间由消费类烟花导致的眼部损伤情况。

设计

描述性研究。

方法

荷兰眼科学会(NOG)董事会呼吁所有成员登记他们在2008年12月27日至2009年1月4日期间治疗的所有与烟花相关的眼部损伤。同时登记了有关患者的若干详细信息、烟花类型、事故性质、损伤类型和严重程度以及治疗情况。

结果

在新旧年交替之际,共有95%的值班眼科医生提交了登记表。他们共治疗并登记了268例患者,这些患者因烟花导致315只眼睛受伤。56%的患者是旁观者。大多数受害者为男性。59%(n = 158)的患者为未成年人(3 - 17岁);大多数是10 - 15岁的男孩。三分之一的眼睛(n = 99)遭受了永久性损伤。在47只眼睛中,损伤程度导致了不可逆的视力丧失,在24只眼睛中导致了完全失明。这24只眼睛中有15只被手术摘除。“鞭炮”造成的损伤最多,但火箭烟花造成的损伤最严重。

结论

基于医学原因,荷兰眼科学会认为当前对烟花的宽容政策使荷兰民众面临的眼部损伤风险过高。只要允许消费类烟花,荷兰眼科学会建议在燃放和观看烟花时佩戴防护性聚碳酸酯眼镜。

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