摘要
目的重点研究总结眼表热烧伤急性期、营养紊乱期的综合治疗。方法按Roper_Hall分度法把眼表烧伤分为4度,并根据烧伤的病理过程分为3期:急性期、营养紊乱期、瘢痕期。急性期全身大量应用皮质类固醇、维生素C及局部肝素治疗。营养紊乱期局部应用自身血清,瘢痕期促其愈合等综合治疗措施。结果Ⅲ度以上烧伤24眼中保留眼功能者23眼,1眼形成角膜葡萄肿者应患者要求行眼球摘除术。结论眼表热烧伤处理不当必然导致感染、融解坏死,甚至穿孔、或发生眼内炎等严重并发症。有效的综合治疗是保存眼球及为瘢痕期后治疗创造有利条件的保证。
Objective Emphasis on studying and making a conclusion on the comprehensive treatment for thermal-burned eye at acute period, nutrition irregular period. Methods With Roper- Hall way, separated thermal-burned eyes into four degrees. And according to burn injury pathological process, separated it into three periods： acute period, nutrition irregular period and scar period. Acute period： more glucocorticosteroids, Vitamin C should be applied to the whole body and apply Heparin to partial body. Nutrition irregular period： patient＇ s own blood serum should be applied to the partial body. Scar period：comprehensive treament should be applied to make it recover. Results Of 24 thermalburned eye,23 eyes had functions, cornea staphyloma was formed on one eye. Conclusions Eye thermal-burn is a complicated and long pathological process. If the treatment is not correct, that will induce infection on the wound and dissolve, even a perforation in the eyeball. Therefore, making a serious scientific and effective comprehensive treatment system is guarantee for saving eyeball and creating effective condition for the treatment of scar period.
出处
《眼外伤职业眼病杂志》
北大核心
2006年第6期428-430,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词
眼表热烧伤
治疗
eye
thermal-burn
treatment
作者简介
邵彦明（1962-），男，满族，辽宁抚顺人。医学硕士，副主任医师。
