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眼内炎症是眼外科最严重的并发症,可继发于眼穿通伤、全身或眼周的感染。回顾性研究资料表明,眼穿通伤或眼手术后眼内炎的发生率为0.1%～1.0%,对于致病菌,各家的差异也较大。本文前瞻性地收集了法国1988～1989年间12个月64个眼科医疗中心的协作研究资料,以期掌握其发生率及致病菌方面更确切的数据。调查期间,各中心均未预防性地应用抗生素,并逐月统计了手术的数量和类型、眼损伤和眼内炎的例数,详细登记了每份眼内炎病例的病史、潜在感染因素、发生地点、致病菌、症状、治疗及预后等62个项目的内容,3个月末,给病人作一次随访性眼科检查。
Intraocular inflammation is the most serious complications of ophthalmic surgery, secondary to eye injury, systemic or eye infection. Retrospective study shows that the incidence of eye injury or eye surgery endophthalmitis 0.1% to 1.0%, for pathogenic bacteria, each of the larger differences. This paper prospectively collected collaborative research data from 64 ophthalmic medical centers in France during the 12 months from 1988 to 1989 with a view to ascertaining its incidence and more precise data on pathogens. During the survey, the centers did not use antibiotics prophylactically and monthly counted the number and type of surgery, the number of eye injuries and endophthalmitis, detailed the history of each endophthalmitis case, the potential infection factors, Place of occurrence, pathogens, symptoms, treatment and prognosis of 62 items of content, at the end of 3 months, to the patient for a follow-up eye examination.