摘要
目的分析感染性眼内炎的临床特点。方法回顾性分析412例(412只眼)确诊为感染性眼内炎患者的病原菌分布和视力影响因素。结果感染性眼内炎患者以外伤性眼内炎为主(283例),其次为内眼术后眼内炎(126例);发病高峰主要集中在15~45岁男性群体。外伤性眼内炎主要致病菌以表皮葡萄球菌为主,内眼术后眼内炎致病菌以链球菌属为主。白细胞计数(WBC)、中性粒细胞绝对值(NEUT#)、中性粒细胞/淋巴细胞比值(NLR)、初始视力、就诊时间、有无视网膜脱离和有无外伤对视力改善有影响。结论感染性眼内炎病原菌主要为表皮葡萄球菌。炎症指标、初始视力、就诊时间、网脱和外伤是视力预后的影响因素。
Objective To analyze the clinical characteristics of endophthalmitis.Methods A retrospective analysis of 412 cases diagnosed with endophthalmitis in patients with pathogen distribution and visual prognosis factors.Results The patients were mainly traumatic endophthalmitis,followed by endophthalmitis after intraocular surgery.The peak incidence was mainly concentrated in men aged 15~45 years.Staphylococcus epidermidis was the primary pathogenic bacterium of traumatic endophthalmitis,while Streptococcus was the primary pathogenic bacterium of endophthalmitis following intraocular surgery WBC,NEUT#,NLR,initial visual acuity,treatment time,presence or absence of retinal detachment,and presence or absence of trauma had an effect on visual acuity improvement.Conclusion The pathogenic bacteria of endophthalmitis are mainly Staphylococcus epidermidis.The visual prognosis is influenced by the following factors:trauma,mesh detachment,treatment duration,initial visual acuity,and inflammation index.
作者
康宜晖
梁伊妍
张帅
Kang Yi-hui;Liang Yi-yan;Zhang Shuai(Department of Clinical Medical College,Shanxi Datong University,Datong 037009)
基金
山西省眼科医院青年基金(B202303)
山西重大科技攻关专项(2022XM15)。
关键词
感染性眼内炎
致病因素
病原学分析
预后
endophthalmitis
pathogenic factors
etiology analysis
prognosis
