论文部分内容阅读
例1:女,33岁。因左眼剧痛、异物感、畏光流泪2天入院。2天前患者出现在眼烧灼感.取出角膜接触镜后无改善。先后以中草药煎水外洗,醋酸可的松眼药水滴眼,并口服土霉素等,症状仍逐渐加重。体检:视力手动/眼前,眼睑高度肿胀,结膜混合充血,巩膜睫状压痛明显.角膜中央有直径6mm的圆形溃疡,上覆黄绿色脓性分泌物,房水尚清。入院诊断为绿脓杆菌性角膜溃疡。即予局部频滴0.5%庆大霉素眼药水,散瞳,热敷,全身给予青霉素、庆大霉素、丁胺卡那霉素,口服多种维生素等。2日后患眼分泌物培养出绿脓杆
Example 1: Female, 33 years old. Due to left eye pain, foreign body sensation, photophobia 2 days admitted to hospital. The patient developed eye burns 2 days ago and no improvement after removal of the contact lens. Has Chinese herbal medicine Jianshui wash, cortisone eye drops of acetic acid and oral oxytetracycline, the symptoms are still gradually increased. Physical examination: visual acuity manual / immediate, high eyelid swelling, conjunctival hyperemia, scleral ciliary tenderness obvious.Central cornea has a diameter of 6mm round ulcers, yellow-green purulent discharge over the aqueous humor. Admission was diagnosed as Pseudomonas aeruginosa corneal ulcer. That is, to local 0.5% gentamicin eye drops drip, mydriasis, heat, systemic penicillin, gentamicin, amikacin, oral and other vitamins. 2 days after the eye secretions cultured Pseudomonas rods