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1
題名:感染性眼內炎的病因診斷──六年回顧     (16點)
ETIOLOGICAL DIAGNOSIS OF INFECTIOUS ENDOPHTHALMITIS──A SIX-YEAR REVIEW
著者:謝靜茹(Ching-Ju Hsieh) ;黃正賢(Jen-Shang Huang) ;林昌平(Chang-Ping Lin) ;楊長豪(Chang-Hao Yang) ;何子昌(Tzyy-Chang Ho) ;楊中美(Chung-May Yang) ;陳慕師(Muh-Shy Chen)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:Postoperative ; post-traumatic and endogenous endophthalmitis
刊名:中華民國眼科醫學會雜誌
卷期:42卷3期(2003.9)
頁碼:195-202
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:探討感染性眼內炎的病因診斷O 材料與方法:回溯性研究報告,病歷回顧近六年來(自民國86 年1 月1 日至91 年12 月31 日)臺大醫院感染性眼內炎,分為下列 三組:術後性、創傷性及內因性眼內炎,統計分析眼內檢體培養的結 果O 結果:本研究總共186 例,陽性培養有81 例(陽性培養率 44.5%) 0 132 例(71% )術後性眼內炎, 19 例(10%) 創傷性眼內炎, 35 例( 19%) 內因性眼內炎O 術後性眼內炎: 21 例(42% )格蘭性 陽性菌, 22 例(44% )格蘭性陰性菌, 6 例( 12%) 徽菌O 常見有19 例(38% )綠朦桿菌、9 例( 18%) 葡萄球菌、5 例( 10%) 鏈球菌O 創傷性眼內炎: 3 例葡萄球菌及2 例徽茵O 內因性眼內炎:最常見為 22 例(84% )肺炎克雷伯氏菌感染肝膽系統,轉移至眼睛而引起感染 性眼內炎O 另外3 例(12% )自體免疫性疾病患者有徽血菌而引起感 染性眼內炎O 結論:感染性眼內炎唯一可靠的診斷與治療方法為眼內檢體的培 養,正確適當的眼內槍體採樣,檢體迅速的傳送,可以提高陽性培養 率O 本研究發現近幾年術後性眼內炎的病因與過去或國外文獻報告有 所不同,格蘭性陰性菌有增加的趨勢,尤其綠噱桿菌佔大多數,而格 蘭性陽性菌如葡萄球菌日漸減少的趨勢O 東方人內因性眼內炎最常見 的病因為肺炎克雷伯氏菌( 84%) ,有別於西方人,以葡萄球菌或鏈 球菌為主O
Purpose: To investigate the etiological diagnosis of infectious endophthalmitis. Materials and Methods: The medical records of all patients with infectious endophthalmitis at N ational Taiwan University Hospital between January 1, 1997, and December 31, 2002 were reviewed. The infectious endophthalmitis falls into three groups; postoperative, post-仕aumatic and endogenous. In伽ocular culture results were obtained and analyzed. Results: 81 (44.5%) of 186 eyes were culturepositive. The postoperative group included 132(71%) eyes ,出e post-traumatic group 19(10%) eyes, and the endogenous group 35(19%) eyes. The common microorganism isolates were 19 (38%) Pseudomonas aeruginous, 9(1 8%) Staphylococci, 5(10%) Streptococci in postoperative group, 3 Staphylococci, 2 fungi in post 甘aumatic group, and 22(84%) Klebsiellla peumoniae originating from hepatobilliary infection, 3(12%) fungi from immunocompromised patients in endogenous group. Conclusions: Biopsy of intraocular fluid/tissue is the only method that permits reliable diagnosis and treatment. Optimal sampling and rapidly transporting samples is crucial to increase the positive cultures. An increase in gram-negative bacteria in the postoperative group over the last 20 years was also observed in this study as well as in the literature. The most common microorganism isolates in the endogenous group were Klebsiellla peumoniae.


    

本卷期目次
中華民國眼科醫學會雜誌 42卷3期 (2003.9)
自覺式驗光技術/ 林耕國陳彥伯李建興
COMMUNITY-BASED STUDY ON PREVALENCE AND CAUSES OF VISUAL IMPAIRMENT AMONG THE ELDERLY IN TAIPEI AND MATSU/ Ching-Yao TsaiChang-Sue YangTao-Hsin TungPesus ChouLi-Lin KuoI-Lun Tsai1Lin-Chung Woung
OVERNIGHT ORTHOKERATOLOGY──A PRELIMINARY REPORT/ Mei-Chuan YangHsin-Jui LeeYi-Chun ChenSzu-Yuan LinShun-Ling Lin
感染性眼內炎的病因診斷──六年回顧/ 謝靜茹黃正賢林昌平楊長豪何子昌楊中美陳慕師
CORRECTION OF A FLAT CHEEK AFTER AN INADEQUATE REDUCTION OF ZYGOMATICO-MAXILLARY COMPLEX FRACTURE USING A HIGH-DENSITY POLYETHYLENE MALAR IMPLANT──A CASE REPORT/ Cheng-Hsien Chang
BILATERAL SEVERELY OCULAR INJURY BY HIGH-PRESSURE WATER──A CASE REPORT/ Chih-Cheng ChangHao Lun SuGow-Lieng Tseng
RECURRENT KIMURA DISEASE OF LACRlMAL GLAND──CASE REPORT/ Seng-Te HangCheng-Jong ChangChiao-Hong ChenJian-Nan Wu
ENDOGENOUS KLEBSIELLA ENDOPHTHALMITIS WITH UNKNOWN PRIMARY ORIGIN ── A CASE REPORT/ Chun-Ju LinChang-Ping LinChung-May Yang
ORBITAL STEATOCYSTOMA SIMPLEX──TWO CASE REPORTS/ Tzu-Fang ChouShu-Ching KaoShyh-Haw TsayChieh-Chin TsaiWen-Ming Hsu
BILATERAL ORBITAL CELLULITIS IN A CHILD WITH SINUSITIS── CASE REPORT/ I-hua WangShin-Yu TsengYi-Chun ChenShun-Ling Lin
人工流產後造成之內因性念珠菌眼內炎──病例報告/ 蔡翔翎陳立仁
 
   
 
   

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