目的:探讨外伤性前房积血的治疗方法和临床疗效。方法:回顾性分析我院2000-01/2007-12外伤性前房积血90例进行治疗及其效果。治疗方法是双眼包扎,半卧位,休息,应用止血剂、甘露醇、皮质类固醇激素、神经营养剂,必要的行手术治疗。观察积血吸收时间、并发症和视力。结果:前房积血88例在3～16d吸收,2例发生角膜血染。前房积血吸收后视力<0.1者6例,0.1～0.3者9例,0.4～0.9者29例,≥1.0者46例。结论:外伤性前房积血的视力恢复程度与积血量多少、挫伤程度、并发症的多少及治疗有关。

·AIM:To discuss treatment method and clinical curative effect of traumatic hyphema.METHODS:The treatment and effects of 90 cases of traumatic hyphema from January 2000 to December 2007 in our hospital were retrospectively analyzed.Treatment was bandaging eyes,semi-supine,rest,application of hemostatic agents,mannitol,corticosteroids,neurotrophic agents,the necessary surgical treatment.Blood absorption time,complications,and vision were observed.RESULTS:A total of 88 cases of hyphema absorption were in 3-16 days,2 cases were of blood-stained cornea.After hyphema absorption,vision was <0.1 in 6 cases,0.1 to 0.3 in 9 cases,0.4 to 0.9 in 29 cases,≥ 1.0 in 46 cases.CONCLUSION:Vision recovery degree of traumatic hyphema is related with blood volume,contusion extent,the number of complications and therapy.

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