响眼球穿孔伤后化脓性眼内炎治疗效果的因素分析

目的　探索影响眼球穿孔伤后化脓性眼内炎预后的因素。方法　回顾性分析伤口大小、异物存留、晶状体损伤和病原学等因素对该病预后的影响。结果　伤口大小、异物存留与否或是否合并晶状体损伤的病例其预后无统计学差异。49%的病例发现病原体,其中感染G 球菌占61%,G-杆菌占17%,真菌占11%,混合感染占11%。与G 球菌感染相比,G-杆菌感染之眼内炎预后较差。结论　伤口大小、异物存留与否及是否合并晶状体损伤对该病的预后无明显影响,感染病原体种类影响该病的预后。

The factors which affect the prognosis of endophthalmitis after penetrating eye injuries

ObjectiveTo evaluate the relative factors that affect the prognosis of endophthalmitis after penetrating eye injuries.MethodsForty nine patients with endophthalmitis after penetrating eye injuries were analyzed to evaluate the relationship between the prognosis and some factors such as wound size,intraocular foreign body(IOFB) retaining,lens rupture and microorganism respectively.ResultsFrom the aspect of prognosis,no statistical difference was found between the cases with big wound and small wound,cases with IOFB and without IOFB,cases with lens rupture and without lens rupture.Pathogen could be found in 49% cases.Among them,61% cases were infected by G coccus,17% cases were infected by G - bacillus,11% cases were infected by fungus and 11% were combined infections.Compared with cases of G coccus infection,the prognosis was very poor in the cases of G - bacillus infection.ConclusionWound size,IOFB and lens rupture have little effect on the prognosis of this disease,while the kind of pathogen can affect the prognosis greatly.It would be very important to learn the kind of pathogen in the early stage and choose effective medicine according to the pathogen type for the treatment of endophthalmitis after penetrating eye injuries.