【摘要】 目的 通过病例分析对眼内炎的诊治和预防提出有价值的建议。方法 就70例眼内炎的资料对致病原因、微生物学检测及诊断治疗进行回顾性分析。结果 外伤性眼内炎52例,内眼手术后14例,另有转移性眼内炎4例。7岁以下儿童和18～60岁的成年人为眼内炎高发人群,主要致病原因为注射器刺伤和异物崩伤。涂片和培养阳性率分别为66.67%和40%。手术后视力提高者45例,视力不变13例,视力下降8例,4例年幼不合作。治疗效果与感染的病原体有关,细菌真菌混合感染者效果差。结论 不同年龄段眼内炎致病原因不同。应尽早进行微生物学检查,强调涂片的重要性。眼内炎重在预防。更多还原

【Abstract】 Objective To make therapeutic and prophylactic suggestions by analyzing endophthalmitis cases. Methods The records of 70 cases with endophthalmitis were reviewed retrospectively, including the cause, microbiologic examination, diagnosis and treatment. Results In the 70 cases, 52 cases were posttraumatic, 14 cases were after intraocular surgery,4 cases were metastatic.The children less than seven years old and adults between 18 and 60 years old were susceptible groups. The most common cause was penetrating ocular trauma by syringe or intracocular foreign body. The positive rates of smear and culture were 66.67% and 40% respectively. Postoperative visual acuity increased in 45 cases, remained unchanged in 13 cases, decreased in 8 cases and the other 4 cases couldn’t read the chart.The effect of treatment was related to the pathogen. The effect of mixed infection was worse. Conclusion Main cause of endophthalmitis differs in different age groups. Microbiologic examination should be performed as early as possible and smear is very important. We should pay much importance to the prevention of endophthalmitis.更多还原