外伤性化脓性眼内炎的综合治疗  

Comprehensive treatment for traumatic endophthalmitis

作　　者：罗益文[1] 汪振芳[1] 闻祥根 

机构地区：[1]中山医科大学中山眼科中心,广州510062

出　　处：《眼外伤职业眼病杂志》1998年第6期523-524,共2页Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries

摘　　要：目的评价玻璃体腔注射抗生素及玻璃体切除术对外伤性化脓性眼内炎的临床疗效。方法玻璃体腔内注射抗生素或联合玻璃体切除术。结果G+球菌占52．2％，G-杆菌占40.0％，真菌占10．8％。治疗后视力高于指数有39例。结论外伤性化脓性眼内炎的主要病原菌是G+球菌及G-杆菌，玻璃体腔注射抗生素能有效控制眼内感染。玻璃体切除术仍是治疗本病的主要手段。Objective To evaluate the clinical effect of intravitreous injection of antibiotics and vitrectomy for traumatic endophthalmitis. Methods Vitreous samples were obtained from 98 cases of traumatic endophthalmi tis to detect the causative organisms; Intravitreous injection of antibiotics alone or combined with vitrectomy were offered for tha management. Re sults 52.2% of the cases were caused by gram-positive cocci,40.0% by gram-negative bacilli and 10.8% by fungi. Vision was better than finger count in 39 cases after tha management. Conclusions Traumatic en dophthalmitis is mainly causes by gram-positive cocci and gram-negative bacilli. It can be effectively treated by intravitreous injection of antibi otics. Vitrectomy is still an important treatment for traumatic endoph thamitis.

关 键 词：外伤性 眼内炎 玻璃体切除术 综合疗法 

分 类 号：R779.12[医药卫生—眼科] R771.2[医药卫生—临床医学]