作者：张伟敏，农明善 作者单位： 武警广西总队医院， 广西 南宁 530003
【摘要】 目的 研究军人眼外伤的相关因素，探讨相应的防治措施。方法 对113例（137眼）眼外伤住院军人的年龄、职别、致伤环境、致伤原因、就诊时间、主要致伤类型、受累组织、并发症及预后等进行总结和分析。结果 眼外伤患者占同期眼科总住院军人的41.85%，均为男性，士兵居多，受伤地点多在工作训练场所，致伤原因以打击伤、钝器挫伤为主，就诊时间1/2 h至10 d不等，致伤类型主要是睑裂伤、眼球钝挫伤、前房积血、视网膜震荡等，致盲率20．44%，眼球摘除1眼。结论 眼外伤是军人主要致盲眼病之一，积极预防和采取及时治疗是关键。
【关键词】 军人； 眼外伤
A Clinical Analysis on 113 Servicemen with Eye Injury
Zhang Weimin, Nong Mingshan
(Guangxi Corps Hospital of Chinese People's Armed Police Forces, Nanning 530003,China)
Abstract： Objective To investigate the factors correlative to eye injury of servicemen, and to discuss the corresponding preventive and therapeutic measures. Methods 113 servicemen with eye injury (137 eyes) were analyzed on aspects of age, profession, injurious condition, cause, time of visiting doctors, type of injury, involved tissue, complication, and prognosis. Results All of the patients with eye injury were male, and accounted for 41.85%, most of who consisted of soldiers and suffered eye injury at training spots. The injuries mainly resulted from trauma and contusion. The injured visited doctors between half an hour and 10 days from the start of injury. The most types of injury were composed of eyelid injury, blunt eyeball injury, hyphema and commotio retinae. The blindness rate was 20.44%, and an eye was removed. Conclusion It is vital that eye injury, which is one of the main eye diseases leading to blindness in servicemen, be prevented and treated actively.
Key words： serviceman; eye injury
眼外伤是导致军人视功能下降的主要原因，其发生原因、致伤环境、性质、致伤类型及预后有一定的职业特点。为探讨军人眼外伤的相关因素，更好地制定相应的防治措施，对我院113例（137眼）眼外伤住院军人，进行回顾性分析总结，报告如下。
1 临床资料
1.1 一般资料
我院眼科1998年1月—2002年12月住院军人270例，其中113例（137眼）眼外伤，占同期眼科住院军人的41．85%。右眼80例，左眼57例，右眼：左眼=140:1。
1.2 性别与年龄分布
113例患者全部为男性，年龄19~40岁，高峰年龄19~22岁，平均年龄216岁。
1.3 职别
士兵82例，占7257%，士官19例，占1681%，干部12例，占1062%。
1.4 致伤环境
本组发生于训练工作场所58例，占5133%，生活娱乐场所46例，占4071%，外出探家途中9例，占796%。
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