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本文报导庆大霉素冲洗玻璃体腔治疗眼内感染病例的经验和远期效果。作者在两年内对8例眼球穿孔伤后继发严重感染(全眼球炎)病人采用了以下治疗:一例用庆大霉素溶液作前房冲洗,7例于环钻球壁后用稀释的庆大霉素溶液冲洗玻璃体腔,同时全身使用大剂量的庆大霉素和青霉素,经如此冶疗四只眼的炎症被控制,并保留了一些功能。 7例行玻璃体腔冲洗的病人,在全麻后,操作方法同巩膜后切开相似,距离角巩缘后约九毫米处,先用透热针透热该处周围巩膜,然后用1.5—2mm直径环钻钻去巩膜,此处的脉络膜用热针穿破。6例有脓液流出,1例需先行玻璃体少
This article reports the experience and long-term efficacy of gentamicin in the treatment of intraocular infections in the vitreous humor. In two years, the author treated 8 patients with peri-ocular perforation injury who had severe secondary infection (all-eye inflammation) with the following treatment: one case with gentamicin solution for anterior chamber irrigation, and 7 cases after percussion ball wall diluted with a large celebration Rinse the vitreous chamber with a solution of mycophenolate mofetil and, at the same time, use a high dose of gentamycin and penicillin throughout the body. The inflammation of the four eyes was thus controlled and some of the functions retained. Seven patients underwent vitreous lavage after general anesthesia, the operation method is the same as posterior scleral incision, about nine millimeters from the angle after the edge of the margin, the first with a transparent needle through the sclera around the Department, and then 1.5-2mm Drill the diameter of the ring to the sclera, where the choroid worn with a hot needle. 6 cases of pus outflow, 1 cases required less vitreous