PDF(Pubmed)
Abstract：
UNASSIGNED: To analyze the clinical features of pediatric open globe injury (OGI) in left-behind children (LBC) and in non-left-behind children (non-LBC) prospectively.
UNASSIGNED: Patients diagnosed with OGI were included and divided into 2 groups: LBC and non-LBC. A complete ophthalmological examination was performed. Primary wound repair was completed within 8 hours from initial administration. Pars plana vitrectomy (PPV) was subsequently performed for retained intraocular foreign body (IOFB), endophthalmitis, retinal detachment, or non-clearing vitreous hemorrhage.
UNASSIGNED: A total of 96 patients (4 to 15 years old) were recruited, including 54 LBC and 42 non-LBC. Rupture of the eyeball (P<0.001), endophthalmitis (P<0.001), primary hospitalization time (PHT) over 24 hours (PHT >24 h) (P=0.016), traumatic cataract (P=0.013), vitreous hemorrhage (P=0.040), numbers of surgeries (P<0.001), and lower OTS scores and grades (P<0.001) predisposed patients to poorer final visual acuity (VA). Compared with non-LBC, LBC were significantly younger (P<0.001), had lower OTS scores (P=0.020), had longer PHT (P<0.001), and worse baseline (P=0.011) and final VA (P<0.001). The 3 most common injury sources were pencils (20 cases, 20.8%), knives (11 cases, 11.5%), and iron wire (7 cases, 7.3%). Pencils were the major injury source for IOFB (14 cases, 53.8%). LBC were significantly more likely to be injured by instruments which should be routinely kept away from children (P=0.009).
UNASSIGNED: The prognosis of pediatric OGI was worse in LBC than in non-LBC. It is necessary to improve the guardianship of LBC. Many tragedies may be avoided if adult instruments are properly stored and if children are educated to properly use writing devices.
UNASSIGNED: Patients diagnosed with OGI were included and divided into 2 groups: LBC and non-LBC. A complete ophthalmological examination was performed. Primary wound repair was completed within 8 hours from initial administration. Pars plana vitrectomy (PPV) was subsequently performed for retained intraocular foreign body (IOFB), endophthalmitis, retinal detachment, or non-clearing vitreous hemorrhage.
UNASSIGNED: A total of 96 patients (4 to 15 years old) were recruited, including 54 LBC and 42 non-LBC. Rupture of the eyeball (P<0.001), endophthalmitis (P<0.001), primary hospitalization time (PHT) over 24 hours (PHT >24 h) (P=0.016), traumatic cataract (P=0.013), vitreous hemorrhage (P=0.040), numbers of surgeries (P<0.001), and lower OTS scores and grades (P<0.001) predisposed patients to poorer final visual acuity (VA). Compared with non-LBC, LBC were significantly younger (P<0.001), had lower OTS scores (P=0.020), had longer PHT (P<0.001), and worse baseline (P=0.011) and final VA (P<0.001). The 3 most common injury sources were pencils (20 cases, 20.8%), knives (11 cases, 11.5%), and iron wire (7 cases, 7.3%). Pencils were the major injury source for IOFB (14 cases, 53.8%). LBC were significantly more likely to be injured by instruments which should be routinely kept away from children (P=0.009).
UNASSIGNED: The prognosis of pediatric OGI was worse in LBC than in non-LBC. It is necessary to improve the guardianship of LBC. Many tragedies may be avoided if adult instruments are properly stored and if children are educated to properly use writing devices.
摘要：
■前瞻性分析留守儿童（LBC）和非留守儿童（非LBC）小儿开放性眼球损伤（OGI）的临床特征。
■将诊断为OGI的患者分为2组：LBC和非LBC。进行了完整的眼科检查。初次伤口修复在初次施用后8小时内完成。随后对保留的眼内异物(IOFB)进行平坦部玻璃体切除术(PPV),眼内炎,视网膜脱离,或未清除的玻璃体出血。
■共招募了96名患者（4至15岁），包括54个LBC和42个非LBC。眼球破裂(P<0.001),眼内炎（P<0.001），主要住院时间（PHT）超过24小时（PHT>24小时）（P=0.016），外伤性白内障(P=0.013),玻璃体出血(P=0.040),手术次数（P<0.001），较低的OTS评分和等级（P<0.001），患者的最终视力（VA）较差。与非LBC相比，LBC明显年轻(P<0.001),OTS评分较低(P=0.020)，有较长的PHT（P<0.001），基线（P=0.011）和最终VA（P<0.001）较差。最常见的3种损伤来源是铅笔(20例，20.8%），刀(11例，11.5%），和铁丝(7例，7.3%）。铅笔是IOFB的主要损伤源(14例，53.8%）。LBC更有可能被常规远离儿童的器械损伤(P=0.009)。
■小儿OGI的预后LBC比非LBC差。有必要改善LBC的监护。如果适当地存储成人乐器并且教育儿童正确使用书写设备，则可以避免许多悲剧。
■将诊断为OGI的患者分为2组：LBC和非LBC。进行了完整的眼科检查。初次伤口修复在初次施用后8小时内完成。随后对保留的眼内异物(IOFB)进行平坦部玻璃体切除术(PPV),眼内炎,视网膜脱离,或未清除的玻璃体出血。
■共招募了96名患者（4至15岁），包括54个LBC和42个非LBC。眼球破裂(P<0.001),眼内炎（P<0.001），主要住院时间（PHT）超过24小时（PHT>24小时）（P=0.016），外伤性白内障(P=0.013),玻璃体出血(P=0.040),手术次数（P<0.001），较低的OTS评分和等级（P<0.001），患者的最终视力（VA）较差。与非LBC相比，LBC明显年轻(P<0.001),OTS评分较低(P=0.020)，有较长的PHT（P<0.001），基线（P=0.011）和最终VA（P<0.001）较差。最常见的3种损伤来源是铅笔(20例，20.8%），刀(11例，11.5%），和铁丝(7例，7.3%）。铅笔是IOFB的主要损伤源(14例，53.8%）。LBC更有可能被常规远离儿童的器械损伤(P=0.009)。
■小儿OGI的预后LBC比非LBC差。有必要改善LBC的监护。如果适当地存储成人乐器并且教育儿童正确使用书写设备，则可以避免许多悲剧。
