10歲小孩看了一眼就永久失明 請告訴孩子別玩這東西了!




看同學玩雷射筆好奇,剛湊過去,一束紅光直射眼睛,瞬間就看不見了。半個月前,湖北武漢艾格眼科醫院眼底病室主任彭志華接診一個右眼被雷射筆灼傷的10歲男孩,這是他今年接診的第4個被雷射筆灼傷的孩子。

昨天(28日),武漢晚報記者走訪了同濟醫院、協和醫院、武漢市中心醫院、市兒童醫院和湖北省婦幼保健院等八家醫院眼科。其中,六家醫院眼科專家都接診過這樣的病例。遺憾的是,這些孩子的視力無一例外地永久喪失。

「現在多媒體講課大多會用雷射筆,最怕一不小心射到聽眾眼睛裡。」在近日召開的全國眼底病防控高峰論壇上,全國頂尖眼底病專家、北大人民醫院眼科主任黎曉新教授兩次提到自己用雷射筆時「高度緊張」。現場多位頂尖眼科專家呼籲:請告誡孩子,千萬別拿雷射筆當玩具互相照射!

男孩被照射數秒受到永久傷害

半個月前,彭志華的診室來了個10歲小男孩鵬鵬。「我被同學的雷射筆照了幾秒鐘,眼睛就像被一個大大的圓黑點擋住了,什麼都看不見了。」男孩低著頭小聲說。

彭志華心頭一緊,趕緊安排做檢查。結果顯示:左眼視力1.2,右眼視力僅為0.2,右眼底黃斑區上有一個被燒灼的圓疤。

詢問得知,鵬鵬在武漢市黃陂區一小學上三年級,課間班上幾個男生拿出雷射筆玩,比賽誰的射得遠。鵬鵬覺得好玩,剛湊過去,一束紅光直射他的眼睛。他愣了幾秒鐘,覺得自己的右眼好像被一個圓圓的大黑點遮擋著。直到第2天,鵬鵬發現黑點怎麼也消不掉時,才害怕地告訴了媽媽。

「激光對黃斑區的傷害是永久的、不可逆的,現代醫學無能為力。」彭志華遺憾地告訴鵬鵬媽媽。

「去年雷射筆剛剛流行時,我們也碰到過不少眼睛被雷射筆灼傷導致中心視力喪失的孩子。」協和醫院眼科教授曹陽說,眼睛遇到強光雖然會本能的反射性閉眼,但這短短幾秒足以對嬌弱的黃斑形成不可逆的傷害。

中心視力受損無法恢復

「激光入眼,首先受傷的就是黃斑。」彭志華解釋,眼睛看東西時,物體入眼是黃斑區最先「捕捉」到,聚焦也是靠黃斑區來完成。位於視網膜中心的黃斑區是人的視覺中心,也是光敏感度最高和最脆弱的區域。

一旦這一區域被激光灼傷,此時會感覺眼前好像被一個大圓黑點遮擋住了一樣。彭志華形象地說,看東西就像看「日全食」,中間黑旁邊亮。最要命的是,它不像角膜和晶體可以移植和更換,這種損傷無法通過任何手術和治療恢復。

市中心醫院眼科主任付迅安提醒:「往往是我們察覺到刺眼,做出反應閉眼時,損傷已經造成。」

激光已經成為眼科重要的診療手段,這種治療會損傷視力嗎?湖北省激光醫學會副主任委員、同濟醫院眼科教授劉恆明坦言,「我們做激光治療時,最重要的一點就是要絕對避開黃斑區。不僅患者的黃斑區要保護,醫生也要佩戴防護眼鏡。」

1毫瓦激光足以灼傷孩子眼睛

今年3月,國家質檢總局發佈了《雷射筆、兒童激光槍產品質量安全風險警示和消費提示》,表示不宜為兒童購買雷射筆作為玩具使用,消費者使用雷射筆時應避免照射人體眼睛、皮膚以及衣服等地方。

該文要求對雷射筆銷售實行「分級制」:危害程度由低到高依次為:1類、1M類、2類、2M類、3R類、3B類、4類,各類雷射筆均要作類別標記。其中,玩具中的雷射筆應滿足1類激光輻射功率限值要求,也就是輸出功率要小於0.4毫瓦。

華中科技大學光學與電子信息學院李正佳教授研究醫用激光近40年。他告訴記者,激光是平行光,發射距離遠,發散角度小,射出後一直「勇往直前」。在眼睛這個凸鏡作用下,能量迅速聚焦到黃斑區,這時聚焦點的功率會大得驚人。雷射筆大於3毫瓦,就會對成人的黃斑造成永久性損害。孩子的眼部組織嬌嫩,能承受的量更小一些,1毫瓦左右的激光直接射入眼睛,就足以灼傷孩子的眼睛。


「三無」雷射筆學校周邊很俏銷

昨天上午,記者來到鋼城一小附近的文具店,貨架上層的顯眼處擺滿了各種雷射筆,售價從8元、10元到100元不等。

「雷射筆很好賣,很多孩子喜歡買來當玩具。」店家推薦了一款標價為100元的綠色雷射筆,「這個功率大,可以照射出4種不同花樣,射到幾公里外,初中生都喜歡買這樣的。一週前拿回的十多個賣得只剩最後一個了。」

這只雷射筆的外包裝上印的全是英文,沒有品牌、生產廠家,也沒有功率大小的標識。仔細看,在盒子左下方能找到「請勿將激光直射眼睛」和「離孩子遠一點」的英文警告。但是,對於不懂英文的小孩子和家長來說,絲毫不起作用。

相比這種帶有外包裝的雷射筆,價格便宜的雷射筆僅僅只套了一個透明的小袋子,像個小手電一樣。記者拿起8元/支的雷射筆試了一下,紅色的激光束輕輕鬆鬆照到了二三十米遠的牆上,即使看著牆上的激光斑,幾秒鐘後也會覺得刺眼難受。店家說,小學生玩這種的比較多,最多一天要賣二三十個。

在吉林街小學旁邊,一家文具店的雷射筆已經賣斷了貨,另一家也只剩最後兩支。店家透露,以前都是老師來買,現在很多學生買來玩。「這種小東西,能造成多大個傷害啊?」不少店家對雷射筆存在的安全隱患並不知曉。

記者在網上商城輸入「激光」,立即出現十多萬個搜索結果,大部分是銷售雷射筆的網店。一家廣州網店的大功率雷射筆月成交量高達近7000筆,在「買家評論」一欄記者看到,不少人購買雷射筆當禮物送給孩子。

資料圖

5種雷射筆全超兒童「警戒線」

調查發現,目前市售雷射筆超過九成都沒有品牌、中文標示,也沒有標註功率大小。這些雷射筆的安全情況如何?

老師、售樓人員、醫生是使用雷射筆頻率較高職業,記者分別從中國地質大學教務中心、大華售樓部和武昌醫院借了3支雷射筆。根據學校周邊雷射筆的銷量,記者又在文具店買了一支12元的雷射筆和一支100元的充電式雷射筆。其中,僅中國地質大學教務中心的雷射筆有正規品牌。

將所有雷射筆換上新電池、充電式雷射筆充電半小時後,華中科技大學光學與電子信息學院實驗教學中心楊春華講師用光功率計對5支雷射筆分別進行了測試。結果顯示,所有雷射筆的功率均超過兒童「警戒線」。

其中,中國地質大學教學用的雷射筆功率最小,測試的最大功率為2.15毫瓦;功率最大的雷射筆是校門口100元買的充電式雷射筆,最大功率為35.7毫瓦,如果充滿了電功率會更高。12元一支的雷射筆雖然最便宜,但測試最大功率為3.5毫瓦,排名第二。這5支雷射筆,功率全都超過了兒童「警戒線」。

「在實驗中需要使用到激光時,只要功率大於1級,也就是在0.4毫瓦以上,必須戴上激光防護眼鏡。」楊春華老師透露,在所有可見光中,激光的能量最高,是最傷眼的。

100元買的充電式雷射筆,最大功率為35.7毫瓦,遠遠超過玩具標準。記者 劉璇 攝

文章來源: http://thepeopleinsider.blogspot.com/2014/12/10_31.html

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