Hospitalized eye injury in a large industrial city of South-Eastern Asia
Hospitalized eye injury in a large industrial city of South-Eastern Asia
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DOI：
10.1007/s00417-007-0733-z
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发表时间：
2008-02-01
影响因子：
2.7
通讯作者：
Yen, Ya-Lin
中科院分区：
文献类型：
--
作者：
Chang, Cheng-Hsien;Chen, Chang-Ling;Yen, Ya-Lin
在大多数亚洲国家，在工作场所、运动和骑摩托车时佩戴适当的眼睛保护装置尚未成为常规。本研究的目的是评估的频率，原因，机制，功能的结果和费用的住院眼外伤在一个大型工业城市在东南亚Asia.Methods的高雄医学大学医院从2001年1月至2002年12月收治的眼外伤的入院档案进行回顾性分析。结果共收集160例眼外伤患者。男性患者（83.1%）明显多于女性，而在工作相关组中，男性占92.2%。工伤占48.1%（77例），平均年龄为42.3岁，高于非工伤组的平均年龄36.0岁。最常见的住院伤害原因是挫伤（49.4%），而在工作相关组中是开放性眼球损伤（34.0%）。前房积血（23.1%）是最常见的诊断，其次是玻璃体积血（15.6%）和角膜穿孔（13.8%）。在工伤中，眼睑和角膜裂伤是最常见的。伤眼视力预后差，最终最佳矫正视力<0.1者占39.6%，工伤组视力预后更差，占43.8%。最常见（46.8%）的住院时间为3 - 5天。与工作有关的眼外伤患者的平均住院费用为1382美元，显著高于非工作有关的眼外伤患者的909美元。结论眼外伤患者的住院费用、视力损失和社会经济影响显著。旨在防止眼睛受伤的安全策略是强制性的。
Backgrounds Wearing appropriate eye-protection devices in workplace, sports and motorcycling have not been a routine in most of Asian countries. The purpose of this study is to assess the frequency, causes, mechanisms, functional outcomes and costs of hospitalized eye injuries in a large industrial city in South Eastern Asia.Methods A retrospective review of the hospital admission files of ocular trauma admitted to the Kaohsiung Medical University Hospital from January 2001 to December 2002. Results One hundred and sixty cases of eye injuries were identified for study. Male patients (83.1%) were significantly more than female, while in the work-related group, male was predominant with 92.2%. Work-related injuries accounted for 48.1% (77 cases) with a mean age of 42.3 years, older than the 36.0 years mean for the non-work-related group. The most common cause of hospitalized injury was contusion injury (49.4%), while in the work-related group it was open-globe trauma (34.0%). Hyphema of anterior chamber (23.1%) was the most common diagnosis, followed by vitreous hemorrhage (15.6%) and corneal perforation (13.8%). In work-related injuries, lid and corneal lacerations were the most common. The visual prognosis was poor in injured eyes, with 39.6% eyes having final best corrected visual acuity less than 0.1, and it was even worse at 43.8% in work-related group. The most frequent (46.8%) durations of hospital stay were from 3 to 5 days. The mean cost of eye injuries per case in the work-related group was 1382 US dollars, significantly more than the 909 US dollars per case for the non-work-related group.Conclusion The hospitalized ocular injuries incurred significant visual loss, health-care expenses and socio-economic impacts. Safety strategies aimed at preventing eye injury are mandatory.