论文部分内容阅读
本文报告一组儿童化脓性角膜溃疡,就其病因、临床特点、治疗方法,以及对视力的影响加以探讨.临床资料:1988年5月至1994年5月我院门诊及病房治疗的儿童化脓性角膜溃疡共25例.其中男15例,女10例.年龄3月～15岁,平均8.3岁.诊断标准:(1)临床表现符合化脓性角膜溃疡.(2)病灶区刮取物直接镜检检及细菌、真菌培养阳性者.(3)无单纯疱疹病毒感染史.由于培养前已局部滴药而培养结果阴性但其临床表现符合化脓性角膜溃疡者也包括在本组内.微生物学检查:采用直接划线接种血平板、巧克力色血平板或肉汤增菌培养.细菌生长后做菌落形态,涂片细菌染色形态检查.可疑为真菌感染者可多次涂片直接镜检寻找真菌菌丝或做真菌培养.药物敏感试验采用纸碟法.
This article reports a group of children with suppurative corneal ulcer on its etiology, clinical features, treatment methods, and the impact on visual acuity to be discussed.Clinical data: May 1988 to May 1994 in our hospital outpatient and ward treatment of children purulent There were 25 cases of corneal ulcer, including 15 males and 10 females, aged from 3 months to 15 years old, with an average of 8.3 years old.Diagnostic criteria: (1) The clinical manifestations were consistent with suppurative corneal ulcer. (2) (3) the history of herpes simplex virus-free infection due to culture before the local drip and culture negative, but its clinical manifestations consistent with suppurative corneal ulcer were also included in this group. Microbiology Check: direct scribing inoculation of blood plate, chocolate blood plate or broth enrichment culture bacteria growth colony morphology, smear bacterial staining morphology suspicious for fungal infection can be repeated smear direct microscopy find fungi Mycelium or fungi culture drug sensitivity test using paper dish method.