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新生儿淋菌性结膜炎是较严重的传染性眼病,近年门诊治疗12例报告如下。 1.临床资料 新生儿男7例,女5例,24只眼,年龄4～12天,潜伏期为2～3天。5例家长有冶遊史。 全部患儿均有不同程度睑水肿,结膜充血,水肿,结膜囊大量粘脓性分泌物;5例耳前淋巴结肿大,3例伴有伪膜及散在结膜下点或片状出血,2例角膜水肿且有浅点状染色。实验室检查,为Neisser淋病双球菌确诊。 确诊后立即用生理盐水或1％鱼腥草生理盐水稀释液冲洗结膜囊并擦除伪膜,局部使用0.3％泰利必妥滴眼液5～10分钟一次,点药前常规用上述液体冲洗结膜囊,待分泌物减少后每20～30分钟滴药一次,晚上涂泰
Neonatal gonococcal conjunctivitis is more serious infectious eye disease, outpatient treatment in recent 12 cases reported as follows. 1 clinical data 7 newborns, 5 females, 24 eyes, aged 4 to 12 days, the incubation period of 2 to 3 days. 5 cases of parents have tour history. All children had different degrees of eyelid edema, conjunctival hyperemia, edema, a large number of conjunctival mucopurulent secretions; 5 cases of anterior ear lymph nodes, 3 cases with pseudomembranous and scattered subconjunctival hemorrhage or flakes, 2 cases Corneal edema and shallow staining. Laboratory tests for Neisser gonorrhea confirmed. Immediately after diagnosis, rinse the conjunctival sac with saline or 1% Houttuynia normal saline solution and erase the pseudomembrane. Topical use of 0.3% telbidazole eye drops for 5 to 10 minutes once, rinsing the conjunctiva Capsule, to be discharged after every 20 to 30 minutes to reduce secretions once, painted at night