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目的:探讨眼外伤所致前房出血治疗的效果和方法。方法:对我院2005年1月至2008年12月收治的135例(135眼)外伤性前房积血患者综合治疗进行了回顾性分析。结果:一级前房出血60例,二级前房出血45例,三级前房出血30例,其中继发性青光眼9例,前房出血者全部于1～14 d吸收。积血吸收后视力为0.1以下者3例,0.1～0.5者30例,0.6～1.0者54例,1.0以上者48例。继发性青光眼保守治疗成功9例,且眼压于2～6 d降至正常。结论:眼外伤前房出血经有效合理药物治疗可使出血得到吸收,病情得到缓解或治愈,且视力可得到恢复。
Objective: To investigate the effect and method of treatment of anterior chamber hemorrhage caused by ocular trauma. Methods: A retrospective analysis was performed on the comprehensive treatment of 135 cases (135 eyes) of traumatic hyphema in our hospital from January 2005 to December 2008. Results: There were 60 cases of primary anterior chamber hemorrhage, 45 cases of secondary anterior chamber hemorrhage and 30 cases of tertiary anterior chamber hemorrhage. Among them, 9 cases of secondary glaucoma and all the anterior chamber hemorrhage were absorbed from 1 to 14 days. Visual acuity after hemostasis was 0.1 in 3 cases, 0.1 to 0.5 in 30 cases, 0.6 to 1.0 in 54 cases, more than 1.0 in 48 cases. Conservative treatment of secondary glaucoma in 9 cases of success, and intraocular pressure in 2 ~ 6 d reduced to normal. CONCLUSION: Bleeding can be absorbed by effective and reasonable drug therapy for anterior chamber hemorrhage of ocular trauma. The condition can be relieved or cured, and visual acuity can be recovered.