Heier J S, Enzenauer R W, Wintermeyer S F, Delaney M, LaPiana F P
Ophthalmology Service, Fitzsimons Army Medical Center, Aurora, Colo 80045.
Arch Ophthalmol. 1993 Jun;111(6):795-8. doi: 10.1001/archopht.1993.01090060083028.
A retrospective review of all emergency department visits to a combat support hospital (one of four combining to support 150,000 troops) during Operations Desert Shield and Desert Storm was conducted, and all medical records of patients with ocular complaints were analyzed. Ocular injury and/or disease accounted for 14% (108/767) of these visits to the emergency department. Of 108 patients with ocular complaints, corneal foreign bodies (18), ocular burns (14), and traumatic iritis (eight) were the most common injuries treated, while blepharitis and conjunctivitis (16) were the most common diseases. Nineteen (18%) of the 108 patients with ocular complaints were treated during support of the ground war in Iraq (13 were Iraqi prisoners). Ophthalmic injuries accounted for 13% (19/149) of all ground war casualties; however, eight individuals had associated injuries deemed more significant than those of ocular concern. This incidence continues the trend of earlier wars, which has demonstrated a steady increase in ocular injuries. Most US Army troops were issued protective goggles, but only three of 92 American patients wore them at the time of their injury and/or disease.
对一家战斗支援医院(四家联合起来为15万部队提供支援的医院之一)在沙漠盾牌行动和沙漠风暴行动期间的所有急诊科就诊情况进行了回顾性研究,并分析了所有有眼部不适患者的病历。眼部损伤和/或疾病占这些急诊科就诊病例的14%(108/767)。在108例有眼部不适的患者中,角膜异物(18例)、眼部烧伤(14例)和外伤性虹膜炎(8例)是最常见的损伤类型,而睑缘炎和结膜炎(16例)是最常见的疾病。108例有眼部不适的患者中有19例(18%)是在伊拉克地面战争支援期间接受治疗的(其中13例是伊拉克战俘)。眼部损伤占所有地面战争伤亡人数的13%(19/149);然而,有8人伴有被认为比眼部损伤更严重的其他损伤。这种发生率延续了早期战争的趋势,早期战争中眼部损伤呈稳步上升趋势。大多数美国陆军部队都配发了防护眼镜,但92名美国患者中只有3人在受伤和/或患病时佩戴了眼镜。