摘要
１９９２年６月至１９９３年１２月确诊３１２例化脓性角膜溃疡，原因不明引起者１９６例，占６２．８２％；外伤引起者８５例，占２７．２４％；单疱病毒引起者２５例，占８．０１％；戴隐形眼镜引起者６例，占１．９０％。３１２例中有１９７例（６３．１４％）使用过激素，２９３例（９３．９１％）使用过抗菌素。感染的病原为真菌１４６例（４６．７９％）、表皮葡萄球菌７３例（２３．４０％）、金黄色葡萄球菌４３例（１３．７８％）、绿脓杆菌２０例（６．４１％），并发现两例棘阿米巴原虫感染。对７８例真菌性角膜溃疡同时进行细菌培养，有４４例混合感染，占５６．４１％。真菌常伴有表皮葡萄球菌（１９例，４３．１８％）和金黄色葡萄球菌（１６例，３６．３６％）感染。
hree hundred and twelve cases of the pyogenic
corneal ulcer were diagnosed from June 1992 throughDecember
1993.Among 312 cases ,no remote cause was found in 196 cases
(62.82%),85 cases(27. 24%)was caused by trauma, 25 cases(8. 01%)by
herpes simplex keratitis and 6 cases.90%)by contact lenses.There were
197 cases(63.14%)treated with hormone and 293 cases (93. 91%)treated
with antibiotics. In-fective pathogens were fungus (146 cases ,23.
40%),epidernudis staphy(73 cases ,23. 40%),aureus staphy(43
cases,178%),pseudomonas aeruginosa(20 cases,6. 41%)and acanthamoeba(2
case.78 casesoffungus corneal ulcer were examined by bacterial
culture at the same time. There were44 cases (56. 4%)as-sociated with
bacterial infection. Fungus infection was often accompanied with
epidermidis staphy(19 cases,43. 18%)and aureus staphy(16 cases,36.
36%)infection.
出处
《眼科研究》
CSCD
1995年第2期110-113,共4页
Chinese Ophthalmic Research
