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目的探讨和分析眼部犬咬伤的处理方法及其临床疗效。方法回顾性分析玉溪市人民医院2006年12月至2013年12月收治的28例眼部犬咬伤患者的临床资料,所有患者均采用常规的狂犬疫苗和破伤风疫苗进行紧急免疫,对于仅是单纯撕伤未发生组织缺损的患者行常规创口处理;对于存在组织缺损的患者还纳眼内组织,缝合创面;对于创口较深且组织缺损严重的患者采用较为疏松的方式进行缝合,必要时进行植皮;对于继发视网膜脱离患者采用视网膜脱离显微外科手术进行复位,术后对患者进行随访。结果本组28例患者中,伤口处皮肤Ⅰ期愈合20例,占71.43%,其中2例继发轻度感染;进行Ⅱ期自体植皮手术患者5例,术后均恢复良好;眼球发生轻度撕裂患者均得到有效救治,术后视觉功能正常。结论临床上对于发生眼部犬咬伤的患者需要采取针对性的检查和治疗,通过细致的临床治疗后可预后良好。
Objective To investigate and analyze the treatment of ocular canine bite and its clinical efficacy. Methods The clinical data of 28 cases of ocular bite patients admitted from December 2006 to December 2013 in Yuxi People’s Hospital were retrospectively analyzed. All patients were treated with routine rabies vaccine and tetanus vaccine for emergency immunization. Patients with simple laceration without tissue defects underwent conventional wound healing. Patients with tissue defects were also treated with intraocular tissue and suture wounds. Patients with deep wounds and severe tissue defects were sutured in a loose manner and, if necessary, performed Skin grafting; for retinal detachment patients with retinal detachment microsurgical resection, patients were followed up. Results In this group of 28 patients, wounds at the wound healing in 20 cases, accounting for 71.43%, of which 2 cases were mild infection; 5 patients undergoing second-stage autologous skin grafting were recovered well after operation; Torn patients were effectively treated, postoperative visual function was normal. Conclusion Clinic patients with ocular canine biting need to take targeted examination and treatment, through careful clinical treatment with good prognosis.