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目的:调查了解我军全训部队医疗机构眼外伤救治情况,为进一步加强官兵眼外伤防治提供依据。方法:选择全军11个训练伤监测网点,涵盖所有战区多个兵种。采用多中心现况调查方法,调查眼外伤新发和救治情况。同时,通过询问调查员及现场查看,调查训练伤监测点眼外伤救治人员、设备、技术现况等。结果:1年内11个训练伤监测点新发眼外伤共146例,发病率1.83/1000人年;住院67例,住院率0.84/1000人年。在训练伤监测点治疗79例,占54.11%;转诊到后送医院住院治疗67例,占45.89%。手术治疗37例,占25.34%;药物治疗109例,占74.66%。经治疗痊愈归队128例,占87.67%;由后送医院再转上级医院治疗6例,占4.11%;未能痊愈遗留不同程度眼外伤问题12例,占8.22%。全训部队医疗机构配备人员眼外伤救治水平不足,设备不能满足要求。结论:全训部队医疗机构眼外伤救治能力有待加强。
OBJECTIVE: To investigate and understand the medical treatment of ocular trauma in the PLA military training units and provide evidence for further prevention and treatment of eye injuries. Methods: Select the whole army 11 training injury monitoring network, covering all the theater more than arms. Multi-center status survey method to investigate the new cases of eye injury and treatment. At the same time, by investigating the investigators and on-site inspections, we investigated the current situation of equipment, technologies and so on for eye injuries trains trained in monitoring injuries. Results: During the year, a total of 146 new eye trauma cases were detected in 11 traumatic injury monitoring sites with a prevalence of 1.83 / 1000 person-years. There were 67 hospitalizations and a hospitalization rate of 0.84 / 1000 person-years. In the training injury treatment point treatment of 79 cases, accounting for 54.11%; referral to the hospital after hospital treatment of 67 cases, accounting for 45.89%. Surgical treatment of 37 cases, accounting for 25.34%; 109 cases of drug treatment, accounting for 74.66%. After treatment, 128 cases were returned to the hospital, accounting for 87.67%. Six cases were returned to higher level hospital after evacuation, accounting for 4.11%. There were 12 cases (8.22%) remaining without eye injury. Full training unit medical institutions equipped with eye injury personnel treatment level is not enough, the equipment can not meet the requirements. Conclusion: The ability of emergency treatment of traumatic eye injury in medical institutions of full training troops needs to be strengthened.