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目的 :评价感染性眼内容炎的预后与病原体的关系。方法 :回顾性分析 71例 (71眼 )感染性眼内容炎的病原菌检查、临床处理的结果。结果 :38例 (38眼 )玻璃体标本病原菌培养阳性 ,其中革兰氏阳性球菌 13例 ,革兰氏阴性杆菌 13例 ,真菌 8例 ,革兰氏阳性杆菌 4例。视力达到或好于 5 / 10 0者 11例 ,其中 G+球菌 7例占 5 8.3% ;G-杆菌 2例占 16 .7% ;真菌 2例占 2 5 % ;G+杆菌无一例。结论 :G+ 球菌 ,G- 杆菌是感染性眼内容炎的主要致病菌 ,G+ 球菌感染预后较好 ,G- 杆菌感染预后较差 ,差异有显著性 (p<0 .0 5 )
Objective: To evaluate the relationship between the prognosis of infectious ocular content inflammation and pathogens. Methods: A retrospective analysis of 71 cases (71 eyes) of infectious eye inflammation pathogen examination, the results of clinical treatment. Results: Thirty-eight cases (38 eyes) of vitreous specimens were positive for pathogen culture, including 13 Gram-positive cocci, 13 Gram-negative bacilli, 8 fungi and 4 Gram-positive bacilli. The visual acuity reached or better than 5/10 0 in 11 cases, of which 7 cases of G + cocci accounted for 5 8.3%; G- bacilli in 2 cases accounted for 16.7%; 2 fungi in 2 cases accounted for 25%; Conclusion: G + cocci and G-bacilli are the main pathogens of infectious ocular content inflammation. The prognosis of G + cocci infection is good, and the prognosis of G-bacilli infection is poor with significant difference (p <0.05)