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目的了解2004-2014年云南省西双版纳地区真菌性角膜炎的人口学特征及病因。设计回顾性病例系列。研究对象2004年7月-2014年7月西双版纳州人民医院眼科599例真菌性角膜炎患者。方法回顾分析患者的人口学特征、发病诱因、病原学特征及既往诊疗情况等。主要指标人口学特征、病因及致病菌。结果男女患病比为3:1,年龄35~65岁者占47.5%,农民为主(63.4%),雨季为高发季节(85.4%)。发病诱因中植物性外伤78.4%。未确诊前治疗使用糖皮质激素者占32.5%。致病菌中镰刀菌占37.8%、烟曲霉菌占32.7%。结论男性中壮年农民雨季植物性外伤是西双版纳热带地区真菌性角膜炎主要患病危险因素。
Objective To understand the demographic characteristics and etiology of fungal keratitis from 2004 to 2014 in Xishuangbanna, Yunnan Province. Design retrospective case series. Research object July 2004 - July 2014 Xishuangbanna People’s Hospital ophthalmology 599 cases of fungal keratitis. Methods Retrospective analysis of the patient’s demographic characteristics, the incidence of incentives, etiological characteristics and past diagnosis and treatment. The main indicators of demographic characteristics, etiology and pathogens. Results The prevalence of males and females was 3: 1, accounting for 47.5% of those 35-65 years of age, mainly peasants (63.4%) and the rainy season (85.4%). Incidence of plant trauma 78.4%. Before undiagnosed treatment of glucocorticoid accounted for 32.5%. Fusarium pathogens accounted for 37.8%, Aspergillus fumigatus accounted for 32.7%. Conclusions The rainy monsoon traumatic injury of middle-aged male farmers is the main risk factor for fungal keratitis in tropical areas of Xishuangbanna.