患儿眼部创伤的危险因素与眼科并发症有关
Takaaki Mori1,2, Masakazu Kinoshita1, Osamu Nomura3
1Division of Pediatric Emergency Medicine, Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Fuchu, Japan.
概括
儿童眼部损伤可能导致视力丧失. 白天的急诊室访问,利物体撞击,动物受伤和开放地球上的伤害是儿童并发症的关键风险因素.
科学领域:
- 眼科医生 眼科 眼科
- 儿科急救医学 儿科急救医学
- 创伤外科 手术 创伤外科
背景情况:
- 眼睛损伤是儿童获得单眼盲的重要原因.
- 关于儿童眼部创伤中与眼科并发症相关的特定伤害类型的数据有限.
- 这项研究解决了在儿童眼部受伤后出现不良眼科结果的危险因素的需要.
研究的目的:
- 调查儿童眼部损伤中与眼科并发症相关的危险因素.
- 识别特定的损伤机制和增加并发症可能性的临床表现.
主要方法:
- 对患有眼部创伤的儿科患者 (16岁以下) 的回顾性观察研究.
- 从日本儿科急诊室收集的数据 (2010年3月至2021年3月).
- 分析包括伤害机制,症状,诊断和眼科并发症,计算了几率比率 (OR) 和95%置信区间 (CI).
主要成果:
- 分析了469名患者;伤是最常见的诊断 (79.3%).
- 眼科并发症发生在1.5%的患者中.
- 与并发症显著相关的因素包括白天的急诊室访问,利物体撞击,与动物有关的伤害,视力障碍,视力敏度下降和开放地球伤害.
结论:
- 白天的急诊室访问,利物体撞击,与动物有关的伤害,视力障碍,视力敏度下降和开放球伤害是眼科并发症的独立风险因素.
- 这些发现突出了儿童眼部创伤风险评估和管理的关键因素.
- 早期识别这些风险因素可以帮助预防严重的视觉结果.
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