国际眼科杂志Issue(5)：920-923,4.DOI:10.3980/j.issn.1672-5123.2015.5.51
急性氯气中毒眼部并发症的临床研究
Clinical research on eye complications of acute chlorine poisoning
季玉玲 1张迎秋 2王涛 3陈晨 3苗娟 3王猛 3张娟美3
作者信息
- 1. 276000 中国山东省平邑县仲村中心卫生院
- 2. 276000 中国山东省临沂市人民医院博爱眼科
- 3. 276000 中国山东省临沂市人民医院博爱眼科
- 折叠
摘要
Abstract
•AlM:To observe the eye complications in the cases of acute chlorine gas poisoning. <br> •METHODS:A retrospective review of 121 cases of acute chlorine gas poising with eye irritation, dry eye and other eye complications in Linyi People’s Hospital from February 2009 to February 2013 was performed. <br> •RESULTS: Among 121 patients, 117 cases ( about 96. 7%) had complications of eye irritation and conjunctival and corneal epithelial damage, and the ocular surface damage was aggravated with the increasing level of chlorine gas poisoning. After 3, 6mo being discharged, 32 and 7 patients respectively occurred dry eye among 115 patients followed up. One mild chlorine poisoning patient, during the hormonotherapy of pulmonary complication, complicated with bullous retinal detachment, of which symptoms and physical signs had been improved after stopping hormonotherapy and adding drugs facilitating fluid absorption. One severe chlorine poisoning patient with loss of consciousness during the treatment, had corneal ulcer and after ulcer being healed with drug and conjunctival flap covering surgery, was left permanent leukoma cornea. <br> •CONCLUSlON: Acute chlorine poisoning can cause corneal and conjunctival epithelial damage and dry eye. Ocular complications like bullous retinal detachment associated with hormone application should be paid more attention to in the hormonotherapy. For some patients with severe poisoning, the therapy of corneal and conjunctival epitheliums should be taken seriously in case of irreparable damage in rescuing patient’s life.关键词
急性氯气中毒/眼部刺激症状/干眼/泡状视网膜脱离/角膜溃疡Key words
acute chlorine poisoning/eye irritation/dry eye/bullous retinal detachment/corneal ulcer引用本文复制引用
季玉玲,张迎秋,王涛,陈晨,苗娟,王猛,张娟美..急性氯气中毒眼部并发症的临床研究[J].国际眼科杂志,2015,(5):920-923,4.
