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題 名 | Endophthalmitis: A Ten-Year Experience, Review of the Clinical Pathogens and Treatment=過去十年間內眼炎的臨床分析 |
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作 者 | 王登鶴; 蘇世強; | 書刊名 | 中華民國感染症醫學會雜誌 |
卷 期 | 8:1 1997.06[民86.06] |
頁 次 | 頁45-52 |
分類號 | 416.716 |
關鍵詞 | 內眼炎; Endophthalmitis; |
語 文 | 英文(English) |
中文摘要 | 在過去十年間,雖然醫學有極大的進步,內眼炎這個少見的疾病,依然極易導致病人視力喪失,在此我們收集過去十年間,三十五例培養證實的內眼炎病例。內源性內眼炎有九例,菌種以克列伯氏肺炎桿菌最常見,佔了六例,而糖尿病為病人最常見的潛在性疾病,佔了六例,依次為高血壓,佔三例,腎石症,佔二例,尿毒症,佔一例,腦中風,佔一例。最常見的感染來源是肺炎,佔三例,其次為肝膿瘍,佔二例,外傷引起的內眼炎共十四例,其中一例有三種菌種,綠膿桿菌最為常見,佔五例,依次為凝血�t陰性葡萄球菌有三例,格蘭氏陽性桿菌有三例,鏈球菌有二例,口腔類桿菌,產氣莢膜桿菌,腸球菌各有一例,手術後發生內眼炎共有十二例,白內障手術佔十例,以凝血�t陰性葡萄球菌最常見佔五例,其次為綠膿桿菌有三例,除了三個病人外,其餘病人最後視力全盲或僅有光感,本篇回顧提醒大家對內眼炎病人做快速的診斷及治療以挽救病人的視力。 |
英文摘要 | Endophthalmitis is a rare entity but has the potential to easily induce blindness despite enormous medical progress over the last 10 years. Herein, we reviewed 35 culturepositive cases of endophthalmitis, either from the aqueous humor or vitreous gel, occurring in our hospital during the last 10 years. Nine cases were endogenous endophthalmitis in which Klebsiella pneumoniae was the most common organism (6/9), and one case each of α -hemolytic streptococci, Pseudomonas aeruginosa, and Bacillus species. Diabetes mellitus was the most common underlying disease (6/9). Other diseases in decreasing incidence were hypertension (3/9), renal stones (2/9), uremia with hemodialysis (1/9), and cerebrovascular accident (1/9). The most common primary source was pneumonia (3/9), followed by liver abscess (2/9). The infection sources were not identified in the other four cases. Fourteen cases were post-traumatic endophthalmitis. Only one case demonstrated polymicrobial infection. P. aeruginosa was the most common organism (5/16), followed by coagulase-negative staphylococci (3/16), gram-positive bacillia (3/16) , streptococci (2/16), Bacteroides oralis (1/16), Clostridium perfringens (1/16), and enterococci (1/16). Twelve cases were postoperative endophthalmitis. Coagulase-negative staphylococci was the most common organism (5/12) in these cases. The second most common pathogen was P. aeruginosa (3/12). Operations for cataract were the most common form of surgery (10/12). The visual outcome of all the patients was dismal, except for 3 patients who had a light perception at all. This review made us realize the importance of a prompt diagnosis and intensive treatment to salvage the patient's sight. |
本系統中英文摘要資訊取自各篇刊載內容。