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作者信息
Essid J, Mokline A, Fraj H, Aloui A, Mayoufi H, Eljemi I, Saad M B, Messadi A A
机构信息
Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunisie.
Hôpital Régional de Grombalia, Tunisie.
出版信息
Ann Burns Fire Disasters. 2022 Sep 30;35(3):194-198.
Ocular lesions in burns are common and diagnosis is often late, leading to functional impairment including loss of vision to these individuals. A retrospective study was conducted to assess ocular lesions in burns during ICU stay (01/01/2013 to 30/09/2020) in a 20-bed burn ICU in Tunis. Twenty-six cases combining burns and ocular lesions were reviewed. The average age was 26, with a sex-ratio 3.3/1. TBSA was 22±13%. Face was affected in 23 patients, and mechanical ventilation was required in 10 cases. Diagnosis of ocular lesion was noted at 4.5 H (1-33 H) after burn injury. Main clinical signs were: eye redness (n=5) and purulent eye discharge (n=5). Lesions were mainly corneal abscess and corneal ulcer. Treatment combined local antibiotics (n=16) associated to systemic antibiotics in 10 cases. Surgery was required in 2 cases. Loss of vision was noted in 2 patients. Risk factors of corneal abscess were: facial burn (p=0,01); burn depth (p=0,02) and mechanical ventilation (p=0,04).
烧伤患者眼部损伤较为常见，且诊断往往延迟，导致这些患者出现包括视力丧失在内的功能障碍。在突尼斯一家拥有20张床位的烧伤重症监护病房进行了一项回顾性研究，以评估2013年1月1日至2020年9月30日重症监护病房住院期间烧伤患者的眼部损伤情况。回顾了26例合并烧伤和眼部损伤的病例。平均年龄为26岁，男女比例为3.3/1。烧伤总面积为22±13%。23例患者面部受累，10例需要机械通气。眼部损伤在烧伤后4.5小时（1 - 33小时）被诊断出来。主要临床体征为：眼红（n = 5）和脓性眼部分泌物（n = 5）。损伤主要为角膜脓肿和角膜溃疡。治疗方法包括局部使用抗生素（n = 16），10例联合全身使用抗生素。2例需要手术治疗。2例患者出现视力丧失。角膜脓肿的危险因素为：面部烧伤（p = 0.01）；烧伤深度（p = 0.02）和机械通气（p = 0.04）。
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