Laursen Jonas Vejvad Nørskov, Hjortdal Jesper Østergaard
Skovvejen 87, 2., 8000 -Aarhus.
Ugeskr Laeger. 2014;176(34).
The purpose of this article was to review the existing evidence on emergency treatment of chemical eye burns. Clinical studies show that patients receiving prompt eye irrigation after chemical burns had a significantly better clinical outcome. This is further collaborated in animal studies where prompt irrigation with diphoterine or borate buffer significantly lowered pH in the eye after alkali burns. Two of three studies showed that tap water significantly lowered pH as well, but only if it was administered within 60 seconds after exposure. Saline, however, did not cause any significant decrease in pH at all.
本文的目的是回顾关于化学性眼烧伤急诊治疗的现有证据。临床研究表明,化学烧伤后立即进行眼部冲洗的患者临床结局明显更好。这在动物研究中得到了进一步证实,碱烧伤后立即用二膦酸盐或硼酸盐缓冲液冲洗可显著降低眼内pH值。三项研究中有两项表明,自来水也能显著降低pH值,但前提是在接触后60秒内使用。然而,生理盐水根本不会导致pH值有任何显著下降。