目的:通过对11例急性混合有毒气体中毒致眼部化学伤的诊疗经过进行分析,探讨对急性混合有毒气体中毒致眼部化学伤及全身表现进行诊治的经验教训。方法:对11例以眼部化学伤为主要临床表现的混合有毒气体中毒患者,采取以防治急性眼表损伤为治疗重点的综合治疗。结果:患者11例22眼角膜透明,矫正视力恢复至0.8～1.2,6例患者出现不同程度的嗅觉和味觉减退,1例患者出现中毒性脑损伤及再生障碍性贫血。结论:急性混合有毒气体中毒致眼部化学伤,主要是对眼表造成损害,治疗以积极抗感染、修复眼表为主,对视功能无明显损害;全身治疗也不容忽视。

·AIM:To discuss the treatment procedure and system symptom of ocular chemical injury by acute mixed toxic gas poisoning,and to analyse its clinical experience.·METHODS:All patients with ocular chemical injury as the main clinical manifestations,underwent integrated treatment focused with acute ocular injury.·RESULTS:Totally 22 patient were corneal transparency and visual acuity from 0.8 to 1.2 were in 11 patients.Sense of smell and taste loss were in 6 patients.Toxic brain injury and aplastic anemia were in 1 patient.·CONCLUSION:The mixture of toxic gas can cause acute ocular chemical burns,especial in the ocular surface damage.Anti-infective and repairment of ocular surface treatment were important and systemic treatment can not be ignored.No obvious damage was in visual function.·

R779.1