婴幼儿泪囊炎的治疗体会

目的:探讨婴幼儿泪囊炎的治疗方法并总结治疗效果。方法:回顾分析湘西州人民医院眼科诊断为婴幼儿泪囊炎的患儿180例252眼。平均首诊年龄为5.8月龄。联合采用泪囊区按摩、抗生素眼液、泪道冲洗及泪道探通法。随访2～12mo,以溢泪症状完全消失并泪道冲洗通畅作为治愈目标。结果:在180例252眼患儿中,共治愈224眼,治愈率88.89%,其中未经探通而治愈者54眼(21.43%),探通治愈者170眼(67.46%);1次探通即治愈者132眼(52.38%)。此外剖腹产患儿共126例(70%)。结论:婴幼儿泪囊炎多见于剖腹产患儿,早期有效的泪道探通联合泪囊区按摩及抗生素滴眼液是治疗婴幼儿泪囊炎的有效手段。     

自制软管式冲洗探通针在婴幼儿泪囊炎中的应用

目的探讨自制软管式冲洗泪道探通针在婴幼儿泪囊炎中的应用。方法在95例婴幼儿泪囊炎用软管式冲洗探通针进行泪道冲洗和探通治疗,观察其疗效。结果94例患儿溢泪、溢脓现象消失,泪道通畅而治愈,1例因鼻中隔弯曲而无效。无其他并发症发生。结论用自制软管式泪道冲洗探通针治疗婴幼儿泪囊炎是一种安全、有效、方便的方法。     

新生儿泪囊炎68例治疗观察

目的探讨新生儿泪囊炎治疗的安全有效方法。方法对6个月以内的患儿先行挤压按摩泪囊法治疗1个月，6个月以上者则1～2周，经以上治疗无效者行泪道冲洗，若泪道冲洗不通畅则行泪道探通的按序三步治疗方法。结果行挤压按摩泪囊法治愈16例(22眼／27．50％)，行泪道冲洗治愈18例(23眼／28．75％)，最后行泪道探通治愈34例(35眼／43．75％)。结论新生儿泪囊炎的3种治疗方法各有优点和肯定的疗效，其治疗措施应采取按序三步法的循序渐进原则。     

婴幼儿泪囊炎的治疗和护理体会

目的探讨婴幼儿泪囊炎综合治疗的方法和临床疗效。方法 48例婴幼儿泪囊炎的患儿,以按摩、抗感染、物理探通等综合的方法进行治疗。结果 48例(51眼)经抗生素眼药水点眼和泪囊区按摩治愈4例(5眼),行泪道加压冲洗治愈10例(11眼),探通34例(35眼),1例二岁半患儿系两次探通成功外,其余43例(45眼)均一次成功,经复诊无流泪、无脓性分泌物等临床表现,也未出现其它并发症。结论结合按摩、加压冲洗和探通是治疗婴幼儿泪囊炎,效果明显,损伤小,无并发症,且操作简单,风险小,经济方便,是值得推广的安全有效的婴幼儿泪囊炎治疗方法。     

婴幼儿急性泪囊炎的治疗体会

目的 探讨婴幼儿急性泪囊炎发病原因及有效的治疗方法.方法 对门诊就诊的38例(38眼)婴幼儿急性泪囊炎全身抗感染治疗后采用泪道冲洗加探通法治疗,观察疗效.结果 38例通过泪道冲洗加探通治疗,37例治愈.治愈率97.4%.结论 经全身抗感染治疗后行泪道冲洗加探通法是治疗婴幼儿急性泪囊炎简单有效的方法.     

泪道探通加冲洗治疗婴幼儿泪囊炎的临床研究

目的:研究泪道探通加冲洗治疗婴幼儿泪囊炎的临床疗效。方法:采用7号腰穿针自制的泪道探通冲洗器,黏膜麻醉后,止动。充分扩张泪小点后,将泪道探通冲洗器按常规探通术,由泪小点,泪小管,泪总管,泪囊,穿破隔膜及泪鼻管后,拔出针芯,接冲2g/L盐酸左氧氟沙星冲洗液,边退边冲,患儿出现吞咽动作或呛咳出冲洗液为度。结果:采用此方法治疗婴幼儿泪囊炎33例33眼均为一次性通畅。再次行泪道冲洗者5例5眼(15%),均为一次性治愈。结论:采用泪道探通加冲洗治疗婴幼儿泪囊炎,方法简便、省时,损伤小,疗效快捷,方便,患儿家属易接受。是目前治疗该病症的好方法。     

探讨泪道探通在新生儿泪囊炎中的应用

目的探讨新生儿泪囊炎治疗效果。方法对75例新生儿泪囊炎患儿行局部泪囊区按摩、泪道加压冲洗、泪道探通术，同时辅以局部点抗生素滴眼液治疗。结果75例患儿经1周～2个月治疗全部治愈。结论对新生儿泪囊炎患儿早期行泪道探通治疗方法，能获满意疗效。     

软泪道探针探通治疗新生儿泪囊炎

0引言新生儿泪囊炎是婴幼儿常见眼病之一,约占新生儿的1.75%～6%,常见的原因是在鼻泪管下端开口处有一薄膜造成阻塞[1],探通治疗是治愈新生儿泪囊炎的有效方法。我科自2002年来利用软泪道探针探通治疗新生儿泪囊炎,收到良好效果,现报告如下。1临床资料我院眼科门诊自2002-01/2004-12对新生儿泪囊炎65例85眼进行探通治疗。年龄19d～2岁,男37例,女28例,其中1￣6m o者31例,7￣12m o者27例,12m o以上7例。眼部检查:患儿均有溢泪或粘液脓性分泌物,压迫泪囊区有粘液脓性分泌物返流。术前所有患儿均用妥布霉素生理盐水冲洗泪道检查,证实为新生儿泪…     

改良探针治疗顽固性婴幼儿泪囊炎

婴幼儿泪囊炎临床上常见,多是新生儿鼻泪管先天性阻塞致泪道感染而成。绝大多数患儿经泪道冲洗或泪道探通术可以治愈。曾有报道治愈率达98.1%[1],但仍有极少数难治病例形成顽固性婴幼儿泪囊炎。笔者试用改良探针治疗32例,收到满意效果,现报告如下。     

全麻下泪道探通及置管术治疗先天性泪囊炎

目的 评价全麻下泪道探通及置管术治疗先天性泪囊炎的疗效。方法 79例90眼先天性泪囊炎患儿,氯胺酮全麻后,行泪道探通术,少数患儿探通后留置硬膜外麻醉管1－3天。结果 79例患儿全部治愈,溢泪溢脓症状消失。结论 全麻下泪道探通及置管术治疗先天性泪囊炎,安全可靠、成功率高。     

泪道探通术联合妥布霉素滴眼液治疗先天性泪囊炎

目的:探讨泪道探通术联合妥布霉素滴眼液治疗先天性泪囊炎的临床疗效。方法:选取2017-01/2019-06来我院就诊的先天性泪囊炎患儿228例250眼作为研究对象,年龄为6月龄~3岁。按年龄分为3组:6月龄~<1岁133例149眼,1~<2岁62例64眼,2~3岁33例37眼。三组均实施表面麻醉下泪道探通术联合术后妥布霉素滴眼液治疗。结果:先天性泪囊炎患儿中6月龄~<1岁治愈率为97.3%(145/149),1~<2岁治愈率为92.2%(59/64),2~3岁治愈率为83.8%(31/37),无不良事件发生。三组患儿治愈率比较,6月龄~<1岁患儿治愈率最高(P=0.009)。结论:泪道探通术治疗先天性泪囊炎疗效显著,术后联合妥布霉素滴眼液安全可靠。以6月龄~1岁为最佳治疗时机,其手术操作简单,并发症少,具有较高的临床价值。     

Fungal flora in congenital dacryocystitis

In this study, 86 eyes in 66 cases (20 bilateral) of congenital dacryocystitis were analysed for fungal growth. Fungi alone were isolated in 12 eyes (13.95%) and in 14 eyes (16.28%) together with bacteria--a total of 26 positive for fungus in 86 eyes (30.23%). These 26 eyes yielded on fungal culture a total of 28 isolates (in 2 eyes, another fungus was isolated on repeat culture). 11 types of fungi were cultured--C. albicans and A. niger accounted for 5 each out of 28. To the best of our knowledge this is the first report in the literature of fungal flora analysed in congenital dacryocystitis--not surprisingly, more than 30% of eyes were positive for fungus. Systemic studies of fungal flora in dacryocystitis are very few, and hardly any literature on this subject exists in congenital dacryocystitis. This study is an attempt to determine the frequency and clinical significance of fungi isolated from cases of congenital dacryocystitis.     

婴儿先天性泪囊炎泪道探通术的体会

目的 评价泪道探通术治疗婴儿先天性泪囊炎的效果.方法 年龄2～12月的婴儿先天性泪囊炎,192例（226眼）,以5号冲洗式泪道探针经下泪点进针行泪道探通术,按年龄组进行疗效观察分析.结果 226眼先天性泪囊炎探通术224眼治愈,治愈率为99.12%,其中一次探通治愈220眼,一次探通治愈率为97.35%.2～5月龄者112例,一次探通治愈率为100%.并发症主要为出血共9眼（3.98%）,无1例假道形成.结论 用5号冲洗式泪道探针经下泪小管进行泪道探通术是治疗先天性泪囊炎的一种操作简便、成功率高、并发症少且复发率低的治疗方法.5月龄以下的婴儿效果更好.     

新生儿泪囊炎四步疗法的临床研究

目的 观察四步疗法治疗新生儿泪囊炎的临床疗效.方法 对1000例(1216眼)新生儿泪囊炎根据不同年龄、发育特点逐步采用四部治疗方法.第1步:年龄＜3个月的患儿采用按摩方法;第2步:按摩无效且年龄≥3个月～6个月患儿行加压泪道冲洗,每月1次;第3步:加压泪道冲洗失败且年龄＞6个月的患儿行泪道探通术,每月1次;第4步:2次探通失败者,行KTP激光泪道成形术.随访6～12个月.结果 按摩治愈率为25.47％,泪道加压冲洗治愈率为70.19％,泪道探通术治愈率为81.93％,KTP激光泪道成形术治愈率为98.97％.所有患儿均未出现假道及泪点撕裂.结论 采用四部疗法循序渐进治疗新生儿泪囊炎,损伤小,疗效快,方便,患儿家属易接受.     

Acute dacryocystitis associated with epstein-barr virus infection

Acute dacryocystitis is a rare complication of infectious mononucleosis with only three previous reports in the English literature. We present two further children with acute dacryocystitis and clinical and laboratory features of Epstein-Barr Virus related infectious mononucleosis. Both were treated with systemic antibiotics and one child additionally required surgical drainage of a lacrimal sac abscess. Both children made a complete recovery without any lacrimal symptoms. Acute dacryocystitis is uncommon in children without a history of congenital nasolacrimal duct obstruction, and an underlying systemic condition such as infectious mononucleosis should be suspected. In such patients, dacryocystitis can be expected to resolve without symptoms of nasolacrimal duct obstruction and dacryocystorhinostomy is seldom required.     

Acute Dacryocystitis Associated with Epstein-Barr Virus Infection

Acute dacryocystitis is a rare complication of infectious mononucleosis with only three previous reports in the English literature. We present two further children with acute dacryocystitis and clinical and laboratory features of Epstein-Barr Virus related infectious mononucleosis. Both were treated with systemic antibiotics and one child additionally required surgical drainage of a lacrimal sac abscess. Both children made a complete recovery without any lacrimal symptoms. Acute dacryocystitis is uncommon in children without a history of congenital nasolacrimal duct obstruction, and an underlying systemic condition such as infectious mononucleosis should be suspected. In such patients, dacryocystitis can be expected to resolve without symptoms of nasolacrimal duct obstruction and dacryocystorhinostomy is seldom required.     

Retrobulbar orbital abscess secondary to dacryocystitis in a neonate

A retrobulbar orbital abscess secondary to congenital dacryocystitis is extremely rare. External abscess drainage, probing, and syringing with broad spectrum intravenous antibiotics was performed in a 22-day-old neonate who was examined for congenital dacryocystitis complicated by retrobulbar orbital abscess formation.     

先天性泪囊炎的探通治疗体会

目的研究泪道探通术治疗先天性泪囊炎的疗效。方法对年龄3～15个月婴幼儿先天性泪囊炎186例（246眼）,以10％水合氯醛催眠后行探通治疗,许进行疗效观察。结果先天性泪囊炎中246眼有242眼治愈（98．37％）,其中1次探通治愈213眼,占治愈眼的86．58％,2次探通治愈25眼占10．16％,3次探通治愈4眼占1．63％,4眼未愈,占1．63％。术中2眼泪小管轻微撕裂,次日泪道冲洗出现眼睑水肿外,无感染或窒息等其他并发症。结论水合氯醛催眠后,泪道探通术是治疗先天性泪囊炎的一种安全、有效、并发症少的治疗方法。     

先天性泪囊炎表麻下泪道探通术疗效分析

目的探讨先天性泪囊炎泪道探通术的疗效。方法对75例（82眼）2～10个月婴儿先天性泪囊炎泪道探通疗效观察分析。结果一次探通率90．24％。结论门诊表麻下成功率高,并发症少,复发率低。