从整合医学的角度认识内源性眼内炎  

Endogenous endophthalmitis from the perspective of the Holistic Integrative Medicine

作　　者：王红[1] 魏文斌[1] 沈琳[1] 

机构地区：[1]首都医科大学附属北京同仁医院 北京同仁眼科中心 北京市眼科学与视觉科学重点实验室,100730

出　　处：《中华眼科医学杂志（电子版）》2015年第1期1-4,共4页Chinese Journal of Ophthalmologic Medicine(Electronic Edition)

摘　　要：眼内炎为葡萄膜与视网膜的急性化脓性炎症,起病急剧,症状严重,预后不良,早期的明确诊断和有效治疗对该疾病的预后起着关键作用。由于内源性眼内炎常起源于其他部位的化脓性炎症,其在临床中比较少见,且原发病灶隐匿,眼科医师容易将其与免疫性疾病引起的葡萄膜炎混淆,不仅造成了较高的误诊率,也延误了最佳诊疗时机。因此,眼科医师应加强对内源性眼内炎的认识。本文中笔者对内源性眼内炎的病原学研究结果、临床特征、诊断要点以及治疗和预后认识现状进行述评,旨在使广大眼科医师从整合医学的角度全面认识内源性眼内炎,更好地诊治该疾病。Endogenous endophthalmitis is an infectious disease in which systemic infection spreads through the bloodstream to the ocular space in the absence of surgical or traumatic injuries. Accounting for2%-15% of endophthalmitis cases,endogenous endophthalmitis remains as a potentially devastating disease with poor prognosis. Clinically,most patients with endogenous endophthalmitis have one or more systemic risk factors,including diabetes mellitus,liver cirrhosis,and Candida infection. Systemic admission of antibiotics and vitrectomy are the mainstay of treatment for endogenous endophthalmitis. However,patient outcomes remain unsatisfactory. This paper aims to summarize recent advances in etiopathology and treatment of endogenous endophthalmitis from the perspective of integrative medicine.

关 键 词：整合医学 内源性 眼内炎 

分 类 号：R771[医药卫生—眼科]