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淋菌性结膜炎是一种由Neisser淋病双球菌感染的急性结膜炎。近年来,曾基本绝迹的淋病呈现增多趋势,门诊病例并非罕见。本院自1993年至今已发现23例,经采取相应的治疗措施,均已治愈。本组23例,男性15例,女性8例,均为双眼发病,年龄4～25天。 1 临床表现所有患儿潜伏期24～48小时。起初眼结膜轻度充血,继之充血水肿急剧加重,眼睑肿胀,睁眼困难,球结膜水肿隆起,结膜表面附有一薄层黄色伪膜,可轻易镊除,此时可见伪膜下小出血点或片状出血。3～5天后睑皮肤水肿虽减轻,但分泌物由血水样,粘液性转为脓性,持续不断地大量分泌。分泌物涂片检查可见结膜上皮细胞内外大量革兰氏阳性双球菌,对患儿母亲作阴道分泌物涂片均发现相同的致病菌,患儿父亲拒绝检查。
Gonococcal conjunctivitis is an acute conjunctivitis that is infected with Neisse gonorrhoeae. In recent years, there has been an increasing trend of gonorrhea that has basically disappeared. Out-patient cases are not uncommon. The hospital has been found since 1993, 23 cases, after taking the appropriate treatment, have been cured. The group of 23 patients, 15 males and 8 females, are binocular disease, age 4 to 25 days. 1 clinical manifestations of all children with an incubation period of 24 to 48 hours. At first glaucoma conjunctival mild congestion, followed by a sharp increase in congestion and edema, swelling of the eyelids, open eyes, conjunctival edema uplift, conjunctival surface attached to a thin yellow pseudomembranous, tweezers can easily be removed, Or flaky bleeding. 3 to 5 days after the edema of the eyelid edema relief, but the secretion of blood-like, mucinous to purulent, sustained large-scale secretion. Secretion smear examination revealed a large number of gram-positive bacteria inside and outside the conjunctival epithelial cells, the mother of the children for vaginal discharge smear found the same pathogenic bacteria, children refused to check the father.