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本文引用的文献

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Postoperative mycotic endophthalmitis.术后霉菌性眼内炎。
J Cataract Refract Surg. 2010 Jul;36(7):1233-4. doi: 10.1016/j.jcrs.2010.04.025.
2
A study on the incidence, microbiological analysis and investigations on the source of infection of postoperative infectious endophthalmitis in a tertiary care ophthalmic hospital: an 8-year study.一项关于三级眼科医院术后感染性眼内炎发病率、微生物分析及感染源调查的 8 年研究。
Indian J Ophthalmol. 2010 Jul-Aug;58(4):297-302. doi: 10.4103/0301-4738.64132.
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Intracameral vancomycin following cataract surgery: An eleven-year study.白内障手术后前房内注射万古霉素：一项为期11年的研究。
Clin Ophthalmol. 2010 Apr 26;4:321-6. doi: 10.2147/opth.s9546.
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Endophthalmitis: Pathogenesis, clinical presentation, management, and perspectives.眼内炎：发病机制、临床表现、治疗及展望
Clin Ophthalmol. 2010 Mar 24;4:121-35. doi: 10.2147/opth.s6461.
5
Laboratory diagnosis of endophthalmitis: comparison of microbiology and molecular methods in the European Society of Cataract & Refractive Surgeons multicenter study and susceptibility testing.眼内炎的实验室诊断：欧洲白内障与屈光手术医师学会多中心研究中微生物学与分子方法的比较及药敏试验
J Cataract Refract Surg. 2008 Sep;34(9):1439-50. doi: 10.1016/j.jcrs.2008.05.043.
6
Isolates and antibiotic sensitivity of eighty culture-proven endophthalmitis cases from Istanbul.来自伊斯坦布尔的80例经培养证实的眼内炎病例的分离菌及抗生素敏感性
Ophthalmologica. 2008;222(3):157-60. doi: 10.1159/000126077. Epub 2008 May 22.
7
Microbiologic spectrum and visual outcome of posttraumatic endophthalmitis.创伤后眼内炎的微生物谱及视力预后
Retina. 2007 Feb;27(2):236-42. doi: 10.1097/01.iae.0000225072.68265.ee.
8
Incidence of acute endophthalmitis following penetrating keratoplasty: a systematic review.穿透性角膜移植术后急性眼内炎的发生率：一项系统评价
Arch Ophthalmol. 2005 May;123(5):605-9. doi: 10.1001/archopht.123.5.605.
9
Evaluation of microbiological diagnostic techniques in postoperative endophthalmitis in the Endophthalmitis Vitrectomy Study.眼内炎玻璃体切割术研究中术后眼内炎微生物诊断技术的评估
Arch Ophthalmol. 1997 Sep;115(9):1142-50. doi: 10.1001/archopht.1997.01100160312008.

感染性眼内炎的实验室诊断

Laboratory diagnosis of infectious endophthalmitis.

作者信息

Ma Wen-Jiang, Zhang Hong, Zhao Shao-Zhen

机构信息

Eye Centre, Tianjin Medical University, Tianjin 300070, China.

出版信息

Int J Ophthalmol. 2011;4(1):100-2. doi: 10.3980/j.issn.2222-3959.2011.01.23. Epub 2011 Feb 18.

DOI:10.3980/j.issn.2222-3959.2011.01.23
PMID:22553620
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3340684/
Abstract

AIM

To analyze the lab diagnosis and etiology of infectious endophthalmitis.

METHODS

The medical and microbial records of 36 patients diagnosed with infectious endophthalmitis and 8 patients diagnosed with intraocular lens (IOL)-related inflammation between Nov. 1999 and Dec. 2009 were retrospectively reviewed for lab diagnosis and etiology.

RESULTS

The inflammatory cell counts in all aqueous humor specimens from infectious endophthalmitis patients were more than in all aqueous humor specimens from patients with IOL-related inflammation. Sixteen of the 36 aqueous humor samples (44.4%) and 11 of the 24 vitreous humor samples (45.8%) from infectious endophthalmitis patients showed positive results in smears; while 17 aqueous humor samples (47.2%) and 15 vitreous humor samples (62.5%) from infectious endophthalmitis patients showed positive results in culture.

CONCLUSION

The inflammatory cell count may be an important index for infectious endophthalmitis; while, smears can show etiological information earlier.

摘要

目的

分析感染性眼内炎的实验室诊断及病因。

方法

回顾性分析1999年11月至2009年12月期间36例诊断为感染性眼内炎的患者以及8例诊断为人工晶状体（IOL）相关炎症的患者的医学及微生物学记录，以进行实验室诊断及病因分析。

结果

感染性眼内炎患者所有房水样本中的炎症细胞计数均高于IOL相关炎症患者的所有房水样本。感染性眼内炎患者的36份房水样本中有16份（44.4%）以及24份玻璃体样本中有11份（45.8%）涂片呈阳性结果；而感染性眼内炎患者的17份房水样本（47.2%）以及15份玻璃体样本（62.5%）培养呈阳性结果。

结论

炎症细胞计数可能是感染性眼内炎的一项重要指标；而涂片可更早显示病因信息。