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1、眼内炎52例的临床观察与病原学分析作者：出芳,毕春潮，孙鹏锐,杨新光单位：中国陕西省西女市第四医院眼科；(710077)中国陕西省西女市,西女医学院附属医院【摘要】目的：通过対眼内炎致病因素及临床特点的分析，対眼内炎的诊治和预防提出有价值的建议。方法：对2004/2007年我院眼科收治的52例眼内炎患者的年龄、病因学、病原学检查及治疗效果进行冋顾性分析。结杲：眼内炎由外伤导致者最多，占45例(87%,其中异物伤和注射器刺伤为主要致病因索，内眼手术后有6例(12%),转移性眼内炎1例(2%)。14岁以下儿童和男性为眼内炎高发人祥。
2、病原学检查中，细菌性眼内炎培养阳性率为37%,其主耍致病菌为表皮葡萄球菌；真菌性眼内炎培养阳性率为10%,其主耍致病菌为念珠菌。手术后视力提高者44例(92%),视力无改善者4例(8%)。结论：眼外伤是感染性眼内炎最主要的致病因索，早期诊断，早期检测病原体确定敏感药物，早期实施玻璃体切割术联合玻璃体腔注药术是治疗的关键。眼内炎重在预防。【关键词】眼内炎；致病菌；治疗；预后Clinicalandetiologicalstudyonendophthalinitis:astudyof52casesFangTian,ChunChaoBi
3、,PengRuiSun,XinGuangYangDepartmentofOphthalmology,theFourthHospitalofXianCity,Xian710004,ShaanxiProvince,China;TheAffiliatedHospitalofXianMedicalCollege,Xian710077,ShaanxiProvince,ChinaAbstractAIM:Toanalyzetheendoophthalmitispathogenicfactorsandtheclinicalcharacteris
4、tic,andtoproposethevaluablesuggestionsfordiagnosisandtreatment.METHODS:From2004to2007,52endoophthalmitiscaseswhocomefromourdepartmentwererespectivelyreviewedforage,etiology,microbialspectrumandtreatment.RESULTS:Themostcommonpathogenicfactoroftheinfectiousendoophthalm
5、itiswasoculartrauma(45cases,87%),amongthem,foreignbodieswoundandsyringeweremainreasons.Endoophthalmitiscausedbysurgerywere6cases(12%).Transferabilityendoophthalmitiswas1case(2%).Theliabilitypeoplewerebelow14yearsoldchildrenandmale.Themainpathogenicbacteriaofbacterial
6、endoophthalmitiswastheepidermisstaphylococcus,therosaryfungusinfectionwasthemainlycauseoffungus.Thepositiverateofthemicrophysicsendoophthalmitiscultivationrespectivelywere37%and10%・Postoperativevisualacuityimprovedin44patients(92%),4cases(8%)withnoimprovement.CONCLUS
7、ION:Oculartraumaisthemainreasonforinfectiousendoophthalmitis.Earlydiagnosis,earlydetectionofpathogensidentifiedsensitivedrugsandtheearlyimplementationofthevitrectomyunionvitreouscavityinjectionisthekeyforthetreatment.Preventionisveryimportanttoendoophthalmitis.KEYWOR
8、DS:endoophthalmitis;pathogenicbacterium;treatment;prognosis眼内炎可分为外源性和内源性，前者主要发牛丁•外伤或手术Z后，后者则为转移性。无论病因如何，眼内炎均可能对患眼造成毁灭性结果。近年来由于抗牛素和皮
