影响外伤性化脓性眼内炎疗效的相关因素分析  

Factors affecting the prognosis of traumatic endophthalmitis

作　　者：李光玲[1] 冯熠[1] 

机构地区：[1]中国山西省眼科医院眼科,030002

出　　处：《美中国际眼科杂志》2001年第2期67-68,共2页

摘　　要：目的 外伤性化脓性眼内炎是病原菌随致伤物直接进入眼内,使眼内组织在短时间内造成严重损伤,了解哪些因素对该病的预后起决定性作用,为临床医师治疗提供指导。方法 1999年1月～2001年3月间眼球穿孔伤后临床诊断马化脓性眼内炎48例,回顾性分析伤口大小、异物存留、晶状体损伤和病原菌检查及外伤后手术时间对该病预后的影响。结果伤口大小、异物存留是否、晶状体损伤对其预后无统计学差异,54％的病例发现病原菌,其中G^+球菌占39％,G^-杆菌占50％,真菌感染占11％,G^-杆菌感染的眼内炎预后差,这对诊断为眼内炎的患者越早行手术治疗效果越明显。结论 眼球伤口大小、异物存留、晶体损伤对外伤性化脓性眼内炎预后无明显影响,而感染病原菌的种类、发病距手术时时间的长短影响该病的预后。Objective To evaluate the factors that affect the prognosis of endophthalmitis after eye injuries. Methods Forty-eight cases with endophthalmitis developed after eye injuries were examined retrospectively to evaluate the relationship between the prognosis and certain factors such as wound size, intraocular foreign body (IOFB) retaining, lens rupture, pathogenic microorganism and the timing of vitrectomy . Results From the aspect of pronosis, no statistical difference was found between the cases with big wound and those with small wound, cases with IOFB and those without IOFB, cases with lens rupture and those without lens rupture. Pathogens could be found in 54% cases. Among them, 39% cases were infected by G+ coccus; 50% cases were infected by G' bacillus; 11% eases were infected by fungus. In the cases of G- bacillus infection, the prognosis was very poor. The earlier the vitrectomy, the better the prognosis. Conclusion Wound size, IOFB and lens rupture have little effect on the prognosis of endophthalmitis, while the type of the pathogen and the timing of vitrectomy influence the prognosis greatly, so vitrectomy should be done as soon as possible for the treatment of endophthalmitis.

关 键 词：玻璃体切除 预后 眼内炎 病原菌 

分 类 号：R779.1[医药卫生—眼科]