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近年来由于皮质类固醇和抗菌素大量广泛使用,眼内霉菌感染的发病率有所增加。但是此病临床表现特殊,差异较大,易造成误诊,本文结合4例霉菌性眼内炎临床上诊断的失误,进行分析讨论,以提高对本病的认识。例1 男 10岁住院号313059 因高热后左眼红、视物不清15天于1987年9月24日入院。体格检查:体温37.5℃,余无异常。眼部检查:视力右1.2、左光感。左眼混合充血小,角膜水肿,kp~(?),前房黄白色积脓,瞳孔区纤维素色渗出。玻璃体尘埃状或絮
In recent years due to extensive use of corticosteroids and antibiotics, the incidence of intra-ocular mold infections have increased. However, the clinical manifestations of the disease is special, the difference is large, easily lead to misdiagnosis, combined with 4 cases of fungal endophthalmitis clinical diagnosis of errors, analysis and discussion to improve awareness of the disease. Example 1 male 10-year-old hospitalization 313059 left jealous because of high fever, blurred vision 15 days in September 24, 1987 admission. Physical examination: body temperature 37.5 ℃, I no exception. Eye examination: right eye 1.2, left light feeling. Mixed left eye congestion, corneal edema, kp ~ (?), Anterior chamber yellow and white empyema, pupil area of cellulose color exudation. Vitreous dust or floc