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首页> 外文期刊>Clinical toxicology: the official journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists >Incidence and causative agents of chemical eye injuries in Switzerland
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Incidence and causative agents of chemical eye injuries in Switzerland

机译：瑞士化学性眼外伤的发病率和病因

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Context: Chemical eye injuries are ophthalmological emergencies with a high risk of secondary complications and severe visual loss. Only limited epidemiological data for such injuries are available for many countries. Patients and methods: We performed two independent studies. The cause of chemical eye injuries was assessed with a prospective questionnaire study. Questionnaires were sent to all ophthalmologists in Switzerland. A total of 163 patients (205 eyes) were included, between December 2012 and October 2014. Independent of the questionnaire study, the incidence of chemical eye injuries was assessed with a retrospective cohort study design using the database of the mandatory accident insurance. Results: Ophthalmological questionnaires revealed that plaster/cement (20.5%), alkaline (12.2%) and acid (10.2%) solutions caused the highest number of chemical injuries. Only 2% of all injuries were classified as grade III and none as grade IV (Roper-Hall classification). The official toxicological information phone-hotline was contacted in 4.3% of cases. Using data from the accident insurance, an incidence of chemical eye injuries of about 50/100 000/year was found in the working population. Conclusion: Here, we present data on the involved agents of chemical eye injuries in Switzerland, and also the incidence of such injuries in the working population. This may also help to assess the need for further education programs and to improve and direct preventive measures.
机译：背景：化学眼损伤是眼科急症，具有继发并发症和严重视力丧失的高风险。对于许多国家，只有有限的此类伤害流行病学数据。患者和方法：我们进行了两项独立研究。化学性眼损伤的原因通过一项前瞻性调查问卷研究进行了评估。问卷被发送给瑞士的所有眼科医生。在2012年12月至2014年10月之间，共纳入163名患者（205眼）。独立于问卷调查研究，使用强制性意外保险数据库通过回顾性队列研究设计评估了化学性眼损伤的发生率。结果：眼科调查表显示，石膏/水泥（20.5％），碱性（12.2％）和酸（10.2％）溶液引起化学伤害的次数最多。所有伤害中只有2％被归为III级，没有一个归为IV级（罗珀·霍尔分类）。官方毒理学信息热线电话联系了4.3％的病例。使用事故保险中的数据，在工作人群中发现化学眼睛受伤的发生率约为50/100 000 /年。结论：在这里，我们提供了有关瑞士化学眼损伤的相关因素的数据，以及在劳动人口中此类伤害的发生率。这也可能有助于评估对继续教育计划的需求，并改进和指导预防措施。

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