视觉结局与巴勒斯坦开放眼球损伤的创伤到手术的延迟有关:一个回顾性图表审查研究
1Faculty of Health Professions, Al-Quds University, Abu-Dis, occupied Palestine territory.
Lancet (London, England)
|July 6, 2021
概括
及时进行手术是拯救眼睛的关键. 治疗延迟显著影响视觉结果,突出需要及时的医疗照顾以改善预后.
科学领域:
- 眼科 眼科
- 创伤手术
- 公共卫生
背景情况:
- 开放的眼球伤害往往导致视力不佳.
- 在巴勒斯坦,关于手术延迟对视觉预后的影响的数据有限.
- 这项研究需要了解这些伤害的原因和治疗时间表.
研究的目的:
- 调查巴勒斯坦的眼球受伤的原因.
- 确定受伤后到医院的时间.
- 评估延迟手术对最终视觉结果的影响.
主要方法:
- 在2000年至2005年间对413名患有开放球损伤的患者进行了回顾.
- 收集的数据包括伤害原因,呈现时间和视力敏度 (初始和最终).
- 分析的重点是与呈现时间和手术干预相关的结果.
主要成果:
- 大多数受伤 (38%) 是与工作或家庭有关 (20%), 一些受伤与冲突有关 (13-14%).
- 到达医院的中位时间为4小时;70%的患者在8小时内出现.
- 在许多情况下,最终的视力结果显示显著损伤或失明,尽管迅速呈现 (8小时内) 与更好的视力恢复相关 (33%).
结论:
- 迅速进行手术是保持视力开放球损伤的关键.
- 需要进一步的研究,包括纵向研究,以充分了解受伤严重程度,手术延迟和结果之间的关系.
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