使用眼科管理在患者的头部和部创伤二次性枪支的治疗
Matthew Allen De Niear1, Vincent Duong Tang1, Michael Nguyen1
1Department of Ophthalmology and Vision Science, University of California Davis Health, Sacramento, CA, USA.
Journal of emergencies, trauma, and shock
|August 16, 2023
概括
眼科参与头部和部枪伤的治疗显著提高了生存率,特别是在严重的眼睛和轨道创伤. 早期的专家评估对于识别和管理这些危及视力的损伤至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 创伤外科 手术 创伤外科
- 公共卫生 公共卫生
背景情况:
- 与枪支相关的头部和部伤害是严重的眼睛创伤的重要原因.
- 对于这些复杂的伤害,多学科管理是标准的.
研究的目的:
- 确定与枪支相关的严重眼部伤害的流行病学.
- 评估眼科医生参与管理头子枪伤的程度.
主要方法:
- 从2010年到2020年,对207名头部和部枪支伤害患者进行了回顾性队列研究.
- 基于眼科参与的咨询模式和生存率的分析.
主要成果:
- 眼科医生在29%的头部和部枪支伤害病例中进行了咨询.
- 通过眼科评估的患者的生存率 (93.3%) 与未通过眼科评估的患者 (78.2%) 相比更高.
- 在所有开放球损伤和76.5%的轨道骨折中咨询了眼科医生,在轨道骨折病例中改善了生存率.
结论:
- 头部和部枪击伤害经常影响眼睛和轨道结构,导致视力威胁的后果.
- 早期的眼科咨询和联合管理对于这些患者的眼部损伤的最佳识别和治疗至关重要.
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