摘要
目的探讨感染性眼内炎的病因、病原、治疗方法及手术时机的临床选择。方法对吉林大学第二临床医院眼科2004年1月至2008年12月入院治疗的感染性眼内炎患者91例(91只眼),其中男8l例,女10例,对其发生感染性眼内炎的病因、病原、治疗方法及手术时机进行回顾性分析。结果患眼玻璃体病原微生物培养阳性率29.5%,葡萄球菌占44%;根据情况采取不同治疗方法,治疗后91例患者视力有提高78例,占85.7%,视力≥0.05者54例,有效率59.3%。结论眼球穿通伤是眼内炎的最主要原因,及时玻璃体腔内应用敏感抗生素,行玻璃体切割手术治疗能够不同程度恢复患者视功能。
Objective To study the etiological causes, pathogen, treatment method and the timing of operation for the infectious endophthalmitis. Methods A total of 91 infectious endophthalmitis patients of the second clinical hospital of Jilin University fi:om January 2004 to December 2008 were evaluated retrospective- ly, Results The cultivated positive rate of vitreous pathogenic microorganisms was 29.5%, Staphylococcus aureus accounted for 44%. After the different treatment methods based on the situations the number of improve eyesight was 78 (85.7%) out of 91 patients. The number of visual acuity ≥ 0. 05 were 54 (59.3%). Conclu- sions Perforating injury of eyeball is the main cause of infectious endophthalmitis. Injection the sensitive an- tibiotic into the vitreous and vitrectomy can recover the visual function of the patients to different levels.
出处
《中国实用眼科杂志》
CSCD
北大核心
2009年第12期1395-1397,共3页
Chinese Journal of Practical Ophthalmology
关键词
感染性眼内炎
眼球穿通伤
玻璃体切割术
Infectious endophthalmitis
Perforating injury of eyeball
Vitrectomy