Cahill K V, Burns J A
Department of Ophthalmology, Ohio State University, Columbus.
Ophthalmic Plast Reconstr Surg. 1993;9(1):38-41; discussion 42. doi: 10.1097/00002341-199303000-00005.
Acute dacryocystitis frequently is extremely painful and slow to resolve even with systemic antibiotic therapy. We have identified that incision, drainage, and direct application of antibiotics inside the infected sac result in almost immediate resolution of pain and rapid control of infection. This also provides optimal culture material. Twelve consecutive patients treated in this manner had rapid control of the acute infectious process. All eight patients subsequently undergoing dacryocystorhinostomy were fully cured. A total of 58.3% of the patients were infected with gram-negative rods; 50% of the isolates were resistant to most oral antibiotics.
急性泪囊炎通常极其疼痛，即便采用全身抗生素治疗，病情缓解也很缓慢。我们发现，切开、引流并在感染的泪囊内直接应用抗生素，几乎能立即缓解疼痛并迅速控制感染。这还能提供最佳的培养材料。以这种方式治疗的连续12例患者，急性感染过程得到了迅速控制。随后接受泪囊鼻腔吻合术的所有8例患者均完全治愈。共有58.3%的患者感染革兰氏阴性杆菌；50%的分离菌对大多数口服抗生素耐药。
