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本文报告1例胃次全切除术后,静脉多次滴注营养液所致蜡状芽孢杆菌性葡萄膜炎,经玻璃体切割术、红霉素和硫酸卡那霉素B全身及局部应用而治愈。男性62岁,因患早期胃癌于1982年行胃次全切除术,术后10天开始静脉滴注营养液共23天,其间用磺苄青霉素(总量80克)、庆大霉素(总量960mg)和先锋霉素Ⅷ(总量22克)。术后1个月主诉左眼出现飞蚊症并逐渐加重。视力:右1.0左0.05。右眼前节正常,左眼睫状充血,角膜后有羊脂状KP,房水中有浮游细胞,闪光(+),虹膜后粘连,玻璃体呈弥漫性尘埃状混浊,后部玻璃体可见念珠样混浊。眼底:右眼黄斑颞侧可见有渗出斑和出血点;左眼黄斑区和颞下支视网膜静脉旁有渗出斑。两眼眼底荧光血管造影均显示渗出病灶处初期为弱荧光,晚期为强荧光。动脉血培养(-)。给予类固醇和先
This article reports 1 case of subtotal gastrectomy, multiple intravenous infusion of fluid caused by Bacillus cereus uveitis, after vitrectomy, erythromycin and kanamycin sulfate systemic and topical application and cure . Male 62 years old, suffering from early gastric cancer in 1982, subtotal gastrectomy, 10 days after the start of intravenous nutrient solution for 23 days, during which penicillin (total 80 g), gentamicin (total Amount 960 mg) and Pioneermycin VIII (total 22 g). One month after surgery, they complained of floaters and gradually increased their left eye. Vision: Right 1.0 left 0.05. Right anterior anterior segment normal, left eye ciliary congestion, after the cornea has a goat-like KP, aqueous humor cells, flash (+), iris adhesions, vitreous diffuse dust-like turbidity, posterior vitreous visible rosary-like opacity. Fundus: Right eye yellow spot visible bleed spots and bleeding; left eye macula and infratemporal branch next to the infratemporal branch of retinal vein. Both eyes of fundus fluorescein angiography showed that infiltrative lesions early weak fluorescence, late for strong fluorescence. Arterial blood culture (-). Give steroids and first