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目的探讨春节期间特有的烟花爆竹所致眼外伤的特点,及其危害性。方法对2009年1月26日(农历除夕)至2009年2月1日(正月初七)我科收治的24例(24眼)烟花爆竹伤的一般情况、眼别、爆炸物种类、受伤情况以及对视功能的损害程度进行分析。结果男21例,女3例。本人燃放烟花爆竹时受伤者8例,观看别人燃放时受伤者16例。本人燃放时受伤者致伤距离最短0.5m,最长3.0m,平均致伤距离0.9m;观看时受伤者致伤距离最短1.0m,最长8.0m,平均致伤距离3.1m。其中鞭炮致伤18例,烟花致伤6例。伤后患眼视力0.05以下者20眼,其中无光感7眼,光感6眼,手动3眼,数指4眼,对视功能损害严重。结论春节期间燃放烟花爆竹所致的眼外伤应引起社会高度重视,家长、学校、眼科工作者要配合,加强对儿童监护和安全教育,共同预防和减少眼爆炸伤的发生,一旦发生,应及时正确治疗。
Objective To explore the characteristics and harmfulness of eye injury caused by fireworks during the Spring Festival. Methods From January 26, 2009 (Lunar New Year’s Eve) to February 1, 2009 (the first day of the seventh month), 24 cases (24 eyes) of fireworks and firecrackers admitted in our department were investigated for their general condition, eye type, type of explosive, As well as the extent of damage visual function analysis. Results There were 21 males and 3 females. 8 people were injured when I discharged fireworks and 16 people were injured when others watched. Injured when I set off the injured at the earliest discharge distance of 0.5m, the longest 3.0m, the average injury distance of 0.9m; injured when the injury was the shortest 1.0m, the longest 8.0m, the average injury distance 3.1m. Among them, firecrackers were injured in 18 cases and fireworks were injured in 6 cases. Injured eye visual acuity less than 0.05 following 20 eyes, of which 7 were light perception, light perception 6, manual 3, refers to the number of 4, severe damage to the visual function. Conclusion Ocular trauma caused by fireworks and firecrackers during the Spring Festival should be paid great attention by the society. Parents, schools and ophthalmologists should cooperate with each other to strengthen the guardianship and safety education for children so as to jointly prevent and reduce the occurrence of eye blast injuries in time. Correct treatment.