眼科一次救急患者10,206例の統計

A review of 10,206 ocular emergency cases

　大阪府堺市清恵会病院眼科に1981〜1983年の3年間に受診した眼科一次救急症例10,206例の統計的観察を行った．症例は70％が男性であり，受診年齢のピークは0〜9歳と30〜39歳であった．医師が真の救急性ありと判定したものは全症例の半数以下であった．外傷受傷眼の左右差については，微細な異物による軽症例では特に左右差はなく，強角膜裂傷および眼瞼・結膜裂傷のような比較的重症例では有意に左眼の方が多く認められた．また眼科救急診療の設置所として救急病院の利点についても述べた．

We evaluated a consecutive series of 10,206 cases who sought primary ophthalmological care at the Saiseikai Hospital, Sakai City, Osaka, overe a 3-year period (1981-83).

Males accounted for 70% of the whole series. Therewere two age-related peaks at the first and fourth decades. In spite of the sense of urgency in the patients, less than one-half of the cases were judged as in need of prompt professional care.

No definite tendency was present as to the laterality of the affected eye in cases with corneal or conjunctival foreign bodies. In cases with perforating ocular injuries and laceration of the eyelid or conjunctiva, on the other hand, the left eye tended to be involved more frequently than the right. It was assumed, as the probable cause of this laterality, that the left eye is less capable of avoid-ing action in the event of fast approaching injurious object.

Rinsho Ganka (Jpn J Clin Ophthalmol) 40(6) : 616-620, 1986