J Essid, A Mokline, H Fraj, A Aloui, H Mayoufi, I Eljemi, M B Saad, A A Messadi
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引用次数: 0
摘要
眼部损伤在烧伤是常见的，诊断往往较晚，导致功能损害，包括视力丧失这些人。回顾性研究了突尼斯一家20张床位的烧伤ICU住院期间(2013年1月1日至2020年9月30日)烧伤眼部病变的情况。本文回顾了26例烧伤合并眼部病变的病例。平均年龄26岁，性别比3.3/1。TBSA为22±13%。23例患者面部受影响，10例患者需机械通气。烧伤后4.5 H (1 ~ 33 H)诊断眼部病变。主要临床表现为:眼红肿(n=5)、眼脓性分泌物(n=5)。病变主要为角膜脓肿和角膜溃疡。联合局部抗生素治疗(n=16)合并全身抗生素治疗10例。2例需要手术治疗。2例患者视力下降。角膜脓肿的危险因素有:面部烧伤(p= 0.01);烧伤深度(p= 0.02)和机械通气(p= 0.04)。
Brûlure Et Atteinte Oculaire: Incidence, Facteurs De Risque Et Pronostic.
Ocular lesions in burns are common and diagnosis is often late, leading to functional impairment including loss of vision to these individuals. A retrospective study was conducted to assess ocular lesions in burns during ICU stay (01/01/2013 to 30/09/2020) in a 20-bed burn ICU in Tunis. Twenty-six cases combining burns and ocular lesions were reviewed. The average age was 26, with a sex-ratio 3.3/1. TBSA was 22±13%. Face was affected in 23 patients, and mechanical ventilation was required in 10 cases. Diagnosis of ocular lesion was noted at 4.5 H (1-33 H) after burn injury. Main clinical signs were: eye redness (n=5) and purulent eye discharge (n=5). Lesions were mainly corneal abscess and corneal ulcer. Treatment combined local antibiotics (n=16) associated to systemic antibiotics in 10 cases. Surgery was required in 2 cases. Loss of vision was noted in 2 patients. Risk factors of corneal abscess were: facial burn (p=0,01); burn depth (p=0,02) and mechanical ventilation (p=0,04).
期刊介绍：
"Annals of Burns and Fire Disasters" is the official publication of the Euro-Mediterranean Council for Burns and Fire Disasters (MBC) and the European Burns Association (EBA). It is a peer-reviewed journal directed to an audience of medical as well as paramedical personnel involved in the management of burn injuries. The journal publishes original articles in the form of clinical and basic research, scientific advances. It publishes also selected abstracts from international journals.
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