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目的:探讨转移性细菌性眼内炎的临床特点。方法:回顾性分析了我科近年诊治的22例转移性细菌性眼内炎的临床特点。结果:出现眼部症状前有身体其它部位感染者17例(77%);早期眼部检查2例虹膜面有脓性结节,3例视网膜可见黄白色脓性栓塞灶(23%);全部病例早期血液化验示白细胞总数和中性分叶核细胞数明显升高,淋巴细胞计数明显降低;细菌培养阳性率为36%。结论:转移性细菌性眼内炎患者发病前常有身体其它部位感染史,早期临床表现和实验室检查有一定的特异性,细菌培养是确定诊断的可靠方法,但是培养技术有待进一步提高。
Objective: To investigate the clinical features of metastatic bacterial endophthalmitis. Methods: The clinical features of 22 cases of metastatic bacterial endophthalmitis diagnosed and treated in our department in recent years were retrospectively analyzed. Results: There were 17 cases (77%) of other parts of the body before the onset of ocular symptoms. Two cases of purulent nodules in iris and two cases of yellow-white purulent embolism (23%) were seen in the early eye examination. All Early blood tests showed that the total number of leukocytes and the number of neutral leaf cells was significantly increased, lymphocyte count was significantly lower; the positive rate of bacterial culture was 36%. CONCLUSIONS: The history of bacterial bacterial endophthalmitis infection in other parts of the body often before the onset of infection, early clinical manifestations and laboratory tests have a certain specificity, bacterial culture is a reliable method to determine the diagnosis, but the culture technology needs to be further improved.