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患者,魏××,男,68岁.以双眼搐搦性白内障先后行左眼、右眼白内障囊外摘除术.术后均给予青霉素640万u,地塞米松10mg静点,1日1次,共3天。第二只眼术后第4天停用抗生素及激素。第5天病人突感头痛、眼痛。检查:右眼视力光感/眼前;结膜高度水肿、暴露于睑裂外,结膜囊有脓性分泌物,角膜失去光泽,轻度混浊,前房积脓;眼底红光反射消失。急检血常规:WBC18.000×10~9,S0.87。Ly0.13。确诊为急性化脓性眼内炎。即行结膜囊分泌物细菌培养及药敏.并立即给予先锋霉素V3.0每日2次静点,口服强地松以80mg起始,结膜下注射庆大霉索2万u、地塞米松1mg,每日2次,
Patients, Wei × ×, male, 68 years old .By eyes with convulsive cataract followed by left eye, right eye extracapsular cataract extraction.All postoperative penicillin 6.4 million u, dexamethasone 10mg static point, on the 1st, A total of 3 days. Antibiotics and hormones were discontinued on the fourth postoperative day in the second eye. On the 5th day, the patient suddenly felt headache and eye pain. Check: right eye vision light / immediate; conjunctival highly edema, exposure to palpebral fissure, conjunctival sac purulent discharge, corneal luster, mild turbidity, hypopyon, fundus red reflex disappeared. Urgent blood test: WBC18.000 × 10 ~ 9, S0.87. Ly0.13. Confirmed acute suppurative endophthalmitis. That is, the line of conjunctival secretions bacterial culture and drug sensitivity and immediately given cephalosporin V3.0 2 times a day static point, prednisone oral 80mg start, subconjunctival injection of gentamicin 20,000 u, dexamethasone 1mg, 2 times a day,