救急眼科外来10年間の変遷

Changing trends in emergency eye patients during the past decade

　川崎医科大学附属病院救急部開設以来10年間の眼科救急疾患の統計的観察を行った．時間外救急眼科疾患は全救急疾患の3.1％で，この頻度は年次増加傾向にあった．このうち入院例は約8％であった．年齢別では小児と若年者がほとんどで高年齢層には少なかった．男女比は1.9：1と男性に多く，時間内眼科疾患の比率とは対照的であった．疾患別では外傷が71％で各年度ともほぼ同じ頻度であり，内訳としては異物，鈍傷，鋭傷，コンタクトレンズによる角膜障害が多かった．以上より眼科救急患者の年齢，性，疾患の分布状態には一定の傾向があることが判明し，一般救急病院において設置すべき眼科診療器具や救急医に必要な眼科初期診療を知ることができた．このような資料は眼科救急の充実を計るのに有用であると考えられた．

We reviewed eye patients seen in the emergency department of our hospital during the past 10 years (1976-1986). Out of a total of 54. 136 emergency cases, patients with eye problems numbered 1,707, or 3.1 %. Out of these 1,707 cases, 136 cases (8%) needed treatment as in-patients. There was a pre-ponderance of males over females at the ratio of 2 to 1. Eighty percent of the cases were under 40 yearsof age. Ocular trauma was involved in 70% of the cases including foreign body, contusion, laceration and corneal abrasion due to contact lens wear.

The findings indicate that there in a certain ten-dency in the distribution of age, sex and diagnosis. This information would serve as a guide in the selection of essential eye-care equipments in the emergency room and in educating general emer-gency doctors in the initial ophthalmic manage-ment.

Rinsho Ganka (Jpn J Clin Ophthalmol) 41(5) : 451-454, 1987