回顾６４例外伤性脉络膜挫伤。多发于２０～３０岁的青年男性；最常见为拳击伤（４０％）；临床主要表现为视力下降（１００％），眼底可见脉络膜出血灶及裂伤口；荧光眼底血管造影可帮助诊断。脉络膜挫伤多发生于黄斑部（约７０％），其次为视乳头周围，多为单个，１～２ＰＤ大小；脉络膜破裂的形态多为长弧形，脉络膜出血多为圆形；脉络膜破裂与出血常同时出现（６９％）。提示脉络膜破裂及出血累及黄斑部可能是视力下降的主要原因。 64 cases of traumatic choroidal contusion were reviewed. Occurred in young men aged 20 to 30 years; the most common boxing injury (40%); clinical manifestations of decreased visual acuity (100%), the fundus of the choroidal hemorrhage and laceration of the lesion; fluorescence fundus angiography can help diagnose. Choroidal contusion occurred mostly in the macula (about 70%), followed by the optic nerve around, mostly single, 1 ~ 2PD size; choroidal rupture is mostly long arcuate, mostly choroidal hemorrhage; choroidal rupture and bleeding often Simultaneous appearance (69%). Prompted choroidal rupture and bleeding involving the macula may be the main reason for decreased vision.