化脓性角膜溃疡为病情重、致盲率高的眼病,多合并前房积脓,又称为前房积脓性角膜溃疡。近年由于隐形眼镜的问世,使化脓性角膜溃疡的发病规律,与以往相比在许多方面都发生了显著变化。我院从1991年6月——1992年9月遇到本病61例,现结合文献总结分析如下。61例化脓性角膜溃疡中,男28例、女33例。年龄4个月——78岁,平均36.1岁。工人和农民共34例,干部、学生和职员共24例,其它职业3例。绿脓杆菌性角膜溃疡27例,真菌性角膜溃疡16例,棘阿未巴性溃疡1例,其它细菌感染17例。其中合并前房积脓者25例(41%)。61例中有54例经实验室检查(包括刮片及细菌、真菌培养),结果41例阳性(77.4%),12例阴性,原因不明8例。后两者根据其典型的临床表现,结合相应的药物治疗有效而确诊。详细情况见表 Suppurative corneal ulcer is a serious condition, blinding rate of eye disease, and more consolidation of hypopyon, also known as anterior chamber suppurative corneal ulcer. In recent years, the advent of contact lenses, so that the pathogenesis of suppurative corneal ulcer, compared with the past, in many ways have undergone significant changes. Our hospital from June 1991 - 1992 September encountered 61 cases of this disease, are now combined with the literature summarized as follows. 61 cases of suppurative corneal ulcer, 28 males and 33 females. Age 4 months - 78 years old, average 36.1 years old. A total of 34 workers and peasants, cadres, students and staff a total of 24 cases, 3 other occupations. 27 cases of Pseudomonas aeruginosa corneal ulcer, 16 cases of fungal corneal ulcer, 1 case of Acanthopanax ulcer, and 17 cases of other bacterial infections. Including anterior hypopyon in 25 cases (41%). Of the 61 patients, 54 were laboratory-based (including smears and bacteria, fungal cultures). Results were positive in 41 (77.4%), negative in 12, and unexplained 8. The latter two are based on their typical clinical manifestations, combined with the appropriate medical treatment and effective diagnosis. See the table for details