急性重度眼烧伤的临床研究-眼科学专业论文.docx

第三军医大学硕士学位论文 第三军医大学硕士学位论文 PAGE PAGE 16 英文缩写一览表 缩写 LKP 英文全称 lamellar keratoplasty 中文全名 板层角膜移植术 PKP penetrating keratoplasty 穿透性角膜移植术 AM amniotic membrane 羊膜 AMT amniotic membrane transplantation 羊膜移植术 BCVA best-corrected visual acuity 最佳矫正视力 PMN polymorphonuclear leukocyte 多形核白细胞 A clinical study of acute severe eye burns Part One A 26-year retrospective study of acute severe eye burns Abtract Purpose Even undergo positive treatments in clinic, acute severe injuries of the eye may produce extensive damages to the ocular surface epithelium and anterior segment, resulting in poor prognosis.Our study is to retrospectively analyse acute severe eye burns of 26 years and illuminate outcomes of corneal repairment, blindness and complications, so as to evaluate the prognosis and help to improve curative effect. Methods From 1977 to 2002, there were totally 135 cases 155 eyes with acute severe ocular chemical and thermal burns admitted to Southwest Hospital of Third Military Medical University, Chongqing. Divided them into acid, alkali, and thermal groups, firstly filled clinical details into designed questionnaires respectively. Secondly, made 2 Excel sheets according to outcomes of corneal repairment, blindness and complications, then transmitted information in those questionnaires into the sheets. Finally transformed Excel tables into SPSS ones and made statistical process. Results (1) Clinical characteristics of acute severe eye burns: 86.7%were male patients, 13.3% were females, and the greatest at-risk population were the 20-40 year old patients, accounting for 80.6%. Between acid, alkali, and thermal groups, thermal burns were the most usual causes, accounting for 50.0%, acid burns were the rarest causes, accounting for 15.0%. Grade III and IV injuries had gradually increased before 1999. However from 1999, the number of patients admitted have mounted up much more than the past years and the severity of burns tended to be aggravated. The principal cause of in