Stern J D, Goldfarb I W, Slater H
Temple University Health Sciences Center, Section of Plastic and Reconstructive Surgery, Philadelphia, Pennsylvania, USA.
Burns. 1996 Mar;22(2):135-6. doi: 10.1016/0305-4179(95)00105-0.
Facial burns are a frequent component of the presentation of victims who have sustained thermal trauma, reportedly occurring in 20 per cent of burn patients. Even apparently 'f2p4r' facial injuries might well be associated with significant ocular trauma. A retrospective review of 865 patients admitted to our burn centre showed 22 per cent (192) with facial burns. Ocular involvement, defined as globe or eyelid pathology, was present in 15 per cent (127) of these patients. The aetiology and spectrum of ocular injuries is reviewed with lid burns and subsequent lid contractures, accounting for over 50 per cent of ocular complications. Serious ocular pathology necessitating enucleation occurred in only two patients. The difficulties encountered in performing a complete ophthalmological examination in the presence of facial burns are presented in conjunction with a recommended therapeutic plan.
面部烧伤是热烧伤患者常见的表现形式，据报道在20%的烧伤患者中出现。即使是看似“轻微”的面部损伤也很可能伴有严重的眼外伤。对我院烧伤中心收治的865例患者进行回顾性研究发现，22%（192例）有面部烧伤。眼部受累定义为眼球或眼睑病变，在这些患者中有15%（127例）出现。本文回顾了眼外伤的病因和范围，其中眼睑烧伤及随后的眼睑挛缩占眼部并发症的50%以上。仅2例患者出现需要眼球摘除的严重眼部病变。本文结合推荐的治疗方案，介绍了在面部烧伤情况下进行全面眼科检查所遇到的困难。
