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[摘要]
目的:分析外伤性眼内炎病原学及治疗方法。
方法:对2010-09/2012-08我院收治的39例39眼外伤性眼内炎患者的病原学检查、治疗方法、治疗效果进行回顾性分析。
结果:检出病原菌18例,总检出率为46%(18/39),涂片检查结果中Gram阳性(G+)球菌12例,占67%(12/18),G+杆菌4例,占22%(4/18)。视力提高者20例(51%),视力不变者8例(21%),视力下降者7例(18%),视力检查不配合者4例(10%)。
结论:外伤性眼内炎尽早行病原学检查,指导临床用药; 玻璃体腔注药及玻璃体切除术是治疗眼内炎的有效方法。
[Key word]
[Abstract]
AIM: To analyze the etiology, treatment and treatment effect of traumatic endophthalmitis.
METHODS:Totally 39 cases traumatic endophthalmitis patients in our hospital from 2010 to 2012 underwent pathogenic examination, and the treatment and treatment effects were analyzed retrospectively.
RESULTS: Pathogens were detected in 18 cases, the total detection rate was 46%(18/39), smear results showed Gram-positive(G+)cocci 12 cases, accounting for 67%(12/18), G+ bacilli four cases, accounting for 22%(4/18). Visual acuity improved in 20 cases(51%), visual acuity unchanged in 8 cases(21%), visual acuity decreased in 7 cases(18%), visual acuity incoordinate in 4 cases(10%).
CONCLUSION: Traumatic endophthalmitis should underwent as early as possible bacterial culture, clinical treatment, choose different treatment to different conditions, focusing on the prevention of endophthalmitis.
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