开放性眼外伤合并眼内炎的相关因素分析

摘要

Objective To analyze the clinical characteristics and related factors of open ocular trauma associated with endophthalmitis. Methods 150 cases of patients with ocular trauma, analysis of ocular trauma caused by type of injury, clinical characteristics and visual prognosis of endophthalmitis. Results 150 cases of open ocular trauma patients, 130 patients with penetrating injury, 20 cases of wound contamination, 77 cases before and after joint injury, 59 cases with intraocular foreign body. Conclusion Open ocular trauma with industrial environment, followed by the family environment. Foreign body, foreign body perforation, posterior capsule rupture are risk factors for ocular trauma complicated with endophthalmitis.%目的：探讨开放性眼外伤合并眼内炎的临床特点及相关因素分析。方法选取眼外伤患者150例，分析眼外伤的致伤类型、视力预后以及眼内炎发生的临床特点。结果150例开放性眼外伤患者中，穿通伤130例（86.67%），伤口污染20例（13.33%），前后节损伤77例（51.33%），眼内异物者59例（39.33%）。其中发生眼内炎的患者10例（6.67%），行眼球摘除者1例，致盲率26.9%。结论开放性眼外伤以工业环境为主，其次是家庭环境，致伤原因主要是尖锐物或钝物伤，高发年龄段20～29岁，男性高于女性。异物存留、异物穿刺伤，晶状体后囊破裂均是眼外伤并发眼内炎的高危因素。