急診職業性眼睛傷害

追蹤研究台北市立陽明醫院自民國八十年六月至民國八十三年一月之眼科急診病患。1622例眼科急診病患中，80例屬於職業性傷害與疾病，佔眼科急診病急的4.93%。其餘的95.07%除一般常見之急性青光眼，急性角結膜炎，視神經血管疾病外，主要為運動休閒活動或車禍時造成的傷害。74例(74/80, 92.5%)的職業性眼睛傷害與疾病，發生於眼睛周圍或表層眼球組織。其中最多的是眼角膜估50例(50180, 62.5%)，其次是結膜佔35例(35/80, 43.75%)。另外6例(6/80, 7.5%)發生於深層組織，都是深入眼內嚴重的眼球穿透傷。職業性眼睛傷害與疾病中，物理性傷害佔54例(54/80, 67.5%)，其中最多的是異物。佔物理性傷害的72.22%(39/54)。化學性灼傷及燙傷佔10例(10/80, 12.5%)，其中最多的是鹼性灼傷與熱燙傷，各佔4例，兩者合併佔化學灼傷與熱燙傷的80%(8/10)。光、放射線傷害佔16例(16/50, 20.0%)，全部是紫外線引起，其中15例為電焊。這些職業性眼睛傷害多數(95.0%)是因為工作時沒有配戴護眼鏡、護眼罩或使用安全帽時發生。40.0%是工作場所沒有安全護眼設備。為減少職業性眼睛傷害的發生，護眼鏡、護眼罩及安全帽設計上的改良及工作時保護眼睛的教育工作，均為目前急須著手加強的課題。

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並列摘要

We study retrospectively Taipei Municipal Yang-Ming Hospital mergency eye injury patients from 1991 June to l994January. A total of 1622 eye injuries were collected, of which 80(4.93%) persons were work-related. The rest of them (95.03%) were acute glaucoma, optic nerve and vascular diseases, mainly occurred in sport and leisure activities. There were 92.5% (74/80) of all injuries involved periorbital or superficial ocular structures only. The remainder 7.5% (6/80) involved intraocular structures, all of them were severe penetrating injuries. The most common cause were physical injuries and accounted for 52 cases (65.0%), most of them were foreign body (37 cases, 71.15%). Chemical and thermal injuries accounted for 10 cases (12.5%), most of them were alkali and thermal burns (80%). Eye protection devices were often not worn (95.0%). There were 40.0% of patients had no eye protection device available at work. Revision of protection protocols at work, and improved education of personnel are needed to reduced the incidence of occupational eye injury.

並列關鍵字

Ocupational eye injury

國際替代計量

急診職業性眼睛傷害

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