| 白内障术后眼内炎的治疗分析 |
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| 引用本文： | 曹书芹,张军,王广慧,郑秀丽,汤合珍. 白内障术后眼内炎的治疗分析[J]. 临床眼科杂志, 2007, 15(4): 352-354 |
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| 作者姓名： | 曹书芹 张军 王广慧 郑秀丽 汤合珍 |
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| 作者单位： | 252000,山东省聊城市眼耳鼻喉医院;252000,山东省聊城市眼耳鼻喉医院;252000,山东省聊城市眼耳鼻喉医院;252000,山东省聊城市眼耳鼻喉医院;252000,山东省聊城市眼耳鼻喉医院 |
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| 摘 要： | 目的 探讨白内障术后眼内炎的治疗效果.方法 回顾性分析19例（19只眼）经临床和/或微生物检查证实为白内障术后眼内炎的临床资料.所有病例均行房水和玻璃体涂片和细菌/真菌培养＋药敏.结果 19例中术前有糖尿病史4例,高血压合并中度肾衰1例,泌尿系感染1例.19例中急性眼内炎16例,迟发性眼内炎3例.房水和玻璃体微生物检查阳性8例（阳性率42.11%）,其中球菌6例,杆菌1例,真菌1例.19例中15例行玻璃体切割联合玻璃体注药术,3例行前房冲洗和玻璃体注药术,1例行眼内容剜除术.14/15患眼炎症可控制,1例眼球萎缩外,16例保住眼球,最终视力＞0.05者9例.结论 白内障术后眼内炎及时有效的治疗可控制炎症,保留部分有用视力.
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| 关 键 词： | 白内障手术 眼内炎 玻璃体切割术 |
| 收稿时间： | 2007-01-21 |
| 修稿时间： | 2007-01-21 |
Treament of endophthalmitis after cataract surgery |
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| CAO Shu-qin,ZHANG Jun,WANG Guang-hui,ZHENG Xu-li,TANG He-zhen. Treament of endophthalmitis after cataract surgery[J]. Journal of Clinical Ophthalmology, 2007, 15(4): 352-354 |
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| Authors: | CAO Shu-qin ZHANG Jun WANG Guang-hui ZHENG Xu-li TANG He-zhen |
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| Affiliation: | Departmen Ophthalmology, EENT Hospital ,Shandong 252000, China |
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| Abstract: | Objective To research and treatment of endophthalmitis after cataract surgery.Methods We provide a overview of infective endophtholmitis after cataract syrgery by reviewing 19 cases(19 eyes)dignosed by clinician and/or reesults of bacterial exmination.Results In these 19 eyes,there are 6 patients with predisposing diseases before cataract surgery and 8 eyes(42.11%)had a positive smear and/or culture outcome,and 7eyes(87.5%)of them showed bacteria infection.15 eyes from 19 eyes received vitrectomy associated to antibiotics injected in vitreous cavity and 9 eyes gained final visual acuity better than 0.05.Conclusion Effective treatment endophthalmitis after cataract surgery can control infective bacteria and improve vision prognosis. |
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| Keywords: | Cataract surgery Endophtholmitis Vitrectomy |
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