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真菌性眼内炎44例的致病菌分析
引用本文:李静,罗益文,卢彦. 真菌性眼内炎44例的致病菌分析[J]. 国际眼科杂志, 2008, 8(11): 2324-2325
作者姓名:李静  罗益文  卢彦
作者单位:1. 361021,中国福建省厦门市第二医院眼科;510060,中国广东省广州市,中山大学中山眼科中心
2. 中山大学中山眼科中心,中国广东省广州市,510060
摘    要:目的:分析真菌性眼内炎病原菌种类。方法:对明确诊断的44例真菌性眼内炎患者的致病菌和其治疗及转归进行总结分析。结果:涂片及培养均为阳性27例,仅涂片阳性17例。致病菌以烟曲霉菌及酵母样真菌为主,合并细菌感染3例,两种真菌并存1例。行玻璃体切割术27例,术后病情好转或稳定18例。结论:真菌性眼内炎致病菌以烟曲霉菌及酵母样真菌为主,烟曲霉菌愈后差,酵母样真菌愈后好,玻璃体切割治疗有效。

关 键 词:真菌性眼内炎  致病菌  烟曲霉菌

Analysis of pathogenic bacteria of fungal endophthalmitis in 44 cases
Jing Li,Yi-Wen Luo,Yan Lu. Analysis of pathogenic bacteria of fungal endophthalmitis in 44 cases[J]. International Eye Science, 2008, 8(11): 2324-2325
Authors:Jing Li  Yi-Wen Luo  Yan Lu
Affiliation:Jing Li1,2,Yi-Wen Luo2,Yan Lu21Department of Ophthalmology,the Second Hospital of Xiamen City,Xiamen 361021,Fujian Province,China,2Zhongshan Oph-thalmic Center,Sun Yet-Sen University,Guangzhou 510060,Guangdong Province
Abstract:AIM:To analyze the types of pathogenic bacteria in fungal endophthalmitis·METHODS:The types of pathogenic bacteria of 44 cases (46 eyes) that were definitely diagnosed by fungal endophthalmitis were summarized,and the treatments and results were analyzed.·RESULTS:Of them,the smear and culture in 27 cases were positive,and the smear in 17 cases was positive.The main pathogenic bacteria were Aspergillus fumigatus and yeast-like fungi.Three cases were complicated with bacterial infection and one case with two kinds of fungi.Vitrectomy was preformed on 27 cases,in which,18 cases were improved or stable after operation.·CONCLUSION:The main pathogenic bacteria of fungal endophthalmitis were Aspergillus fumigatus and yeast-like fungi.Patients infected by yeast-like fungi will get better prognosis than by Aspergillus fumigatus.Vitrectomy is an effective operation method.·
Keywords:fungal endophthalmitis  pathogenic bacteria  asperqillus fumiqatus  
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