頁籤選單縮合
題名 | Pediatric Ocular Trauma in Taiwan=臺灣兒童眼部外傷 |
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作者姓名(中文) | 李景行; 蘇莞雅; 李嵐; 楊孟玲; | 書刊名 | 長庚醫學 |
卷期 | 31:1 2008.01-02[民97.01-02] |
頁次 | 頁59-65 |
分類號 | 417.67 |
關鍵詞 | 眼部外傷; 眼球鈍挫傷; 眼球破裂; 眼球穿刺傷; Ocular trauma; Closed globe injury; Rupture; Penetrating eye injuries; |
語文 | 英文(English) |
中文摘要 | 背景:統計北臺灣地區兒童眼部外傷之種類、發生率、病因。 方法:回溯林口長庚醫院自西元2003年7月至2004年6月,因眼部外傷到急診求診之15歲以下兒童的病歷,記錄其外傷種類、病因,進一步分析其發生率並探討預防因子。 結果:本研究共收錄228位病患,男女比例151:77人(p<0.0001),21人(9.2%)兩眼同時受傷;最常見的眼部外傷依序為眼球鈍挫傷(closed globe injury,178人,78.1%)、燒傷(burn,35人,15.4%)、眼球破裂(open globe injury,8人,3.5%)、眼窩損傷(orbital injury,7人,3.1%);跌倒為最常見的受傷機轉,拳頭或身體其他部位撞擊其次;尖銳物品如刀、剪刀是最常造成眼球破裂的原因;3位視力減退(小於20/50)病患皆因眼球破裂。 結論:眼部外傷引起的視力損傷多半可以預防,公眾教育、注意兒童活動環境安全、早期積極的治療能減少眼部外傷的發生率並改善預後。 |
英文摘要 | Background: Ocular trauma is a significant problem in pediatric patients. The aim of this investigation was to evaluate the demographic, etiologic and prophylactic factors of pediatric ocular trauma in a tertiary center in northern Taiwan. Methods: A retrospective review of medical charts of patients aged 15 years or younger who visited the emergency department of Chang Gung Memorial Hospital, Taoyuan for ocular trauma between July 2003 and June 2004 was undertaken. Results: Of the 228 children in this study, ocular trauma occurred more frequently in boys than in girls (151:77 patients, p < 0.0001). Twenty-one patients (9.2%) presented with bilateral trauma. The most common ocular injury was closed globe injury (178 patients, 78.1%). The next most common ocular injuries were burns (35 patients, 15.4%), open globe injuries (8 patients, 3.5%) and orbital injuries (7 patients, 3.1%). Falling was the most common cause of ocular trauma in these children, followed by trauma caused by a fist or other part of the body. Sharp objects such as knives or scissors were the most common cause of open globe injuries. Visual impairment (visual acuity less than 20/50) occurred in three open globe injury patients. Conclusions: Ocular trauma in children is associated with visual loss. Many of the cases were preventable. Public education, general awareness and aggressive primary management may be indicated to optimize visual outcome. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。