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细菌性痢疾并发脑膜炎,心肌炎、结膜炎、尿路感染等均有报道。而并发视神经视网膜炎尚未见报道。患儿吴×男2岁发热一天,伴腹痛,腹泻,脓血便,在当地医院诊断为急性菌痢,经输液,静脉注射氯霉素2天,病情好转。4天后发现患儿不能视物故来院。检查:视力双眼光感(可疑)。瞳孔约6mm,光反应消失。视乳头色稍淡,边界清。视网膜呈灰白色水肿,动脉极细,黄斑部可见樱桃红色,中心凹反光消失。诊断为:双眼中毒性视神经视网膜炎。当即给予阿托品0.3mg 双眼球后注射,低分子右旋糖酐200ml静脉滴注。妥拉苏林球后注射,652—2肌注,以及激素及神经营养剂。入院后第5天,患儿开始能辨灯光,经继续治疗,视网膜水肿消退,住院36天。出院时视力:可分辨5米处小刀,铅笔等物。瞳孔大小正常,光
Bacillary dysentery complicated with meningitis, myocarditis, conjunctivitis, urinary tract infections have been reported. The optic nerve retinitis has not been reported. Children Wu × 2-year-old fever day, with abdominal pain, diarrhea, pus and blood in the local hospital diagnosed with acute bacillary dysentery, the infusion, intravenous injection of chloramphenicol for 2 days, the condition improved. 4 days after the discovery of children can not see things to hospital. Check: eyesight sense of light (suspicious). Pupil about 6mm, light reaction disappeared. Optic color slightly lighter, the border clear. Retinal grayish edema, very fine arteries, macular visible cherry red, foveal disappear. Diagnosis: binocular toxic retinal retinitis. Immediately give atropine 0.3mg eyes after injection, low molecular weight dextran 200ml intravenous infusion. Torase Su Lin ball injection, 652-2 intramuscular injection, and hormones and neurotrophic agents. On the 5th day after admission, the children started to recognize the light, and after continued treatment, the retinal edema subsided and was hospitalized for 36 days. Discharge visual acuity: 5 meters can be resolved at a knife, pencil and other objects. Pupil size normal, light