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化学性眼外伤的长期冲洗处理

Management of chemical eye injuries with prolonged irrigation.

作者信息

Saari K M, Leinonen J, Aine E

出版信息

Acta Ophthalmol Suppl. 1984;161:52-9. doi: 10.1111/j.1755-3768.1984.tb06784.x.

DOI:10.1111/j.1755-3768.1984.tb06784.x
PMID:6328854
Abstract

To study the effect of prolonged irrigation in the treatment of chemical eye injuries we reviewed the case records of 172 patients. Most of the patients were men in working age. The injury was caused by acid in 57 patients (33%). Of the acid burns, 28 were due to AIV solution commonly used in agriculture in Finland, and 27 were due to inorganic acids. Alkaline burns occurred in 64 (37%) patients including 33 cases with natrium hydroxide and 20 cases with mortar and cement burns. Other chemicals including organic solvents and surfactants caused the eye burn in 51 (30%) cases. Fifty three patients mostly with alkaline and acid burns were treated with prolonged irrigation with one liter of physiological saline using intravenous delivery system during 1-2 hours. The extent of damage was smaller, the visual outcome better, and the duration of treatment at the hospital and absence from work were shorter in patients treated with prolonged irrigation than without such treatment.

摘要

为研究延长冲洗时间在化学性眼外伤治疗中的效果,我们回顾了172例患者的病例记录。大多数患者为工作年龄段的男性。57例患者(33%)的眼外伤由酸引起。在酸烧伤中,28例是由芬兰农业常用的AIV溶液导致,27例是由无机酸所致。64例(37%)患者发生碱烧伤,其中33例为氢氧化钠烧伤,20例为灰浆和水泥烧伤。其他化学物质包括有机溶剂和表面活性剂导致51例(30%)患者眼烧伤。53例主要为碱烧伤和酸烧伤的患者在1 - 2小时内使用静脉输液系统用一升生理盐水进行延长冲洗治疗。与未进行延长冲洗治疗的患者相比,接受延长冲洗治疗的患者损伤程度更小,视觉预后更好,住院治疗时间和缺勤时间更短。

相似文献

1
Management of chemical eye injuries with prolonged irrigation.化学性眼外伤的长期冲洗处理
Acta Ophthalmol Suppl. 1984;161:52-9. doi: 10.1111/j.1755-3768.1984.tb06784.x.
2
Irrigation of the eye after alkaline and acidic burns.碱性和酸性烧伤后的眼部冲洗
Emerg Nurse. 2009 Dec;17(8):26-9. doi: 10.7748/en2009.12.17.8.26.c7431.
3
Alkali burns of the eye: effect of immediate copious irrigation with tap water on their severity.眼部碱烧伤:立即用自来水大量冲洗对其严重程度的影响。
Ophthalmologica. 2006;220(4):225-8. doi: 10.1159/000093075.
4
[Evidence for emergency treatment of chemical eye burns].[化学性眼烧伤急诊治疗的证据]
Ugeskr Laeger. 2014;176(34).
5
Hydrofluoric acid burns of the eye.眼部氢氟酸灼伤
J Occup Med. 1983 Jun;25(6):447-50. doi: 10.1097/00043764-198306000-00008.
6
[Chemical burns to the eye].[眼部化学灼伤]
Tidsskr Nor Laegeforen. 2004 Jan 8;124(1):49-51.
7
A simple ocular irrigation system for alkaline burns of the eye.一种用于眼部碱性烧伤的简易眼部冲洗系统。
Ophthalmic Surg Lasers. 1997 Mar;28(3):255-7.
8
Toxicologic effects on the eyes at work.工作中眼睛的毒理学影响。
Acta Ophthalmol Suppl. 1984;161:60-5. doi: 10.1111/j.1755-3768.1984.tb06785.x.
9
Alkali-related ocular burns: a case series and review.碱相关眼部烧伤:病例系列报道及文献综述
J Burn Care Res. 2014 May-Jun;35(3):261-8. doi: 10.1097/BCR.0b013e31829b0037.
10
Prompt irrigation of chemical eye injuries may avert severe damage.化学性眼外伤的及时冲洗可避免严重损伤。
Occup Health Saf. 1989 Apr;58(4):33-6.

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