中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
8期
1048-1050
,共3页
内源性眼内炎%全身易感因素%玻璃体切割术
內源性眼內炎%全身易感因素%玻璃體切割術
내원성안내염%전신역감인소%파리체절할술
Endogenous endophthalmitis%Risk factors%Vitrectomy
目的 分析内源性眼内炎的病因、全身易感因素、治疗及预后.方法 回顾分析近5年内11例内源性眼内炎患者的全身状况及眼部情况,玻璃体液培养结果,治疗方法和预后.结果 11例内源性眼内炎患者中8例(72.7％)有全身易感因素,其中肝脓肿3例(27.3％),肝移植术后1例(9.1％),肾移植术后1例(9.1％),肺炎1例(9.1％),糖尿病1例(9.1％),皮肤真菌感染1例(9.1％).11例患者均行玻璃体液细菌、真菌培养和药敏试验,阳性9例(81.8％).其中细菌6例(66.7％),真菌3例(33.3％).9例患者接受玻璃体切除术及全身治疗,2例患者接受眼内注药及全身治疗.最终7例(63.6％)患者视力有不同程度提高,2例(18.2％)行眼球摘除术,2例(18.2％)眼球萎缩.结论 内源性眼内炎的患者大部分有全身易感因素,早期诊断,有效地抗炎抗感染治疗,及时行玻璃体注药和(或)玻璃体切除术,可挽救大部分患者的视力.
目的 分析內源性眼內炎的病因、全身易感因素、治療及預後.方法 迴顧分析近5年內11例內源性眼內炎患者的全身狀況及眼部情況,玻璃體液培養結果,治療方法和預後.結果 11例內源性眼內炎患者中8例(72.7％)有全身易感因素,其中肝膿腫3例(27.3％),肝移植術後1例(9.1％),腎移植術後1例(9.1％),肺炎1例(9.1％),糖尿病1例(9.1％),皮膚真菌感染1例(9.1％).11例患者均行玻璃體液細菌、真菌培養和藥敏試驗,暘性9例(81.8％).其中細菌6例(66.7％),真菌3例(33.3％).9例患者接受玻璃體切除術及全身治療,2例患者接受眼內註藥及全身治療.最終7例(63.6％)患者視力有不同程度提高,2例(18.2％)行眼毬摘除術,2例(18.2％)眼毬萎縮.結論 內源性眼內炎的患者大部分有全身易感因素,早期診斷,有效地抗炎抗感染治療,及時行玻璃體註藥和(或)玻璃體切除術,可輓救大部分患者的視力.
목적 분석내원성안내염적병인、전신역감인소、치료급예후.방법 회고분석근5년내11례내원성안내염환자적전신상황급안부정황,파리체액배양결과,치료방법화예후.결과 11례내원성안내염환자중8례(72.7％)유전신역감인소,기중간농종3례(27.3％),간이식술후1례(9.1％),신이식술후1례(9.1％),폐염1례(9.1％),당뇨병1례(9.1％),피부진균감염1례(9.1％).11례환자균행파리체액세균、진균배양화약민시험,양성9례(81.8％).기중세균6례(66.7％),진균3례(33.3％).9례환자접수파리체절제술급전신치료,2례환자접수안내주약급전신치료.최종7례(63.6％)환자시력유불동정도제고,2례(18.2％)행안구적제술,2례(18.2％)안구위축.결론 내원성안내염적환자대부분유전신역감인소,조기진단,유효지항염항감염치료,급시행파리체주약화(혹)파리체절제술,가만구대부분환자적시력.
Objective To investigate etiology,risk factors,treatment strategy and prognosis of endogenous endophthalmitis.Methods This study included 11 eyes of 11 patients diagnosed with endogenous endophthalmitis and treated at the First Affiliated Hospital,:Zhejiang University from 2007 to 2010 were retrospectively reviewed.Features studied included patients' systemic predisposing factors,culture results of vitreous,treatments and prognosis.Results For the 11 cases of endogenous endophthalmitis,there were 8 patients who had risk factors,including liver abscess in 3 cases (27.3％),1 case (9.1％) after liver transplantation,1 case (9.1％) after renal transplantation (9.1％),1 case (9.1％) was pneumonia,1 case (9.1％) was diabetic patient (9.1％),1 case (9.1％) was fungal skin infection.All the patients underwent vitreous bacterial,fungal culture and susceptibility testing,there were 9 (81.8％) positive cases for vitreous culture,in which 6 cases (66.7％) for bacterium and 3 cases (33.3％) for fungus.Nine patients received vitrectomy and systemic therapy,2 patients received intraocular injection and systemic therapy.Finally,there were 7 (78％) eyes with improved visual acuity,2 (18％) eyes were atrophy,and 2 (18％) eyes eviscerated or enucleated.Conclusions Most of the patients with endogenous endophthalmitis have systemic predisposing factors,early diagnosis,and effective anti-inflammatory and anti-infection treatment,line the vitreous injection and / or vitrectomy surgery in a timely manner,can save most of the patient's vision.
