Boone K D, Boone D E, Lewis R W, Kealey G P
Department of Surgery, the University of Iowa College of Medicine, Iowa City 52242-1086, USA.
J Burn Care Rehabil. 1998 May-Jun;19(3):216-8. doi: 10.1097/00004630-199805000-00006.
The clinical course of thermal corneal injuries is not well described. A review of 1750 burn admissions to a regional burn center between 1979 through 1993 was done to determine the clinical course of thermal corneal injuries. Twenty-five out of 1750 burn admissions (1%) presented with a thermal corneal injury. Corneal injuries were identified with use of a fluorescein dye and a Wood's lamp. Ophthalmologic consultation was obtained for those identified. Data were analyzed with the Fisher's exact test and the unpaired two-tailed Student's t test. Patients with thermal corneal injury did not differ demographically from other patients with burn injury. Open-flame burns were the most common cause of injury. Improvement of corneal injury occurred in all survivors who had an intact globe on initial examination. Initial visual acuity was not a good predictor of outcome, and long-term complications were uncommon.
热烧伤性角膜损伤的临床病程描述并不充分。对1979年至1993年间某地区烧伤中心收治的1750例烧伤患者进行回顾性研究，以确定热烧伤性角膜损伤的临床病程。1750例烧伤患者中有25例（1%）出现热烧伤性角膜损伤。使用荧光素染料和伍德灯来识别角膜损伤。对确诊患者进行眼科会诊。采用Fisher精确检验和非配对双尾学生t检验进行数据分析。热烧伤性角膜损伤患者在人口统计学特征上与其他烧伤患者并无差异。明火烧伤是最常见的致伤原因。所有初次检查时眼球完整的幸存者的角膜损伤均有改善。初始视力并非预后的良好预测指标，长期并发症并不常见。
