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近几年来,随着皮质激素及抗菌素的广泛应用,眼部霉菌感染的发病率有所上升。我院于1982年收治1例甄氏外瓶毒引起的眶内及眼球内感染症例,国内尚未见报导。患者郑××女23岁1982年1月29日入院。左眼眶红肿、疼痛1年余。1年前因左眼流泪,经当地医院冲洗泪道两次,第三天开始下睑发红,呈条索状肿胀。曾注射青、链霉素1周,无效。1981年8月末来我院就诊。左上下眼睑肿胀,并有结节。取结节活检,病理报告为眶内结核,嘱其回当地抗结核治疗。口服雷米封,肌肉注射链霉素5个月,无效。病变延及在额部及面颊部,皮肤红肿,再次来我院住院治疗。1982年1月再取前额皮肤结节病检,报告为慢性炎症。全身检查,一般状态良好,除妊娠8个月外,未发现异常。血尿便常规正常。右眼正常。
In recent years, with the widespread use of corticosteroids and antibiotics, the incidence of eye mold infections have increased. In our hospital in 1982, 1 case of infection caused by orbital and intraocular infections caused by Zhen’s external bottle poisoning has not yet been reported in China. The patient Zheng × × female 23 years old January 29, 1982 admission. Left orbital swelling, pain more than 1 year. A year ago because of left eye tears, the local hospital washed lacrimal duct twice, the third day began the lower eyelid red, was a cord-like swelling. Once injected blue, streptomycin 1 week, invalid. August 1981 came to our hospital. Left upper and lower eyelid swelling, and nodules. Take nodules biopsy, pathology report for orbital tuberculosis, told them to return to the local anti-TB treatment. Oral Remy sealed, intramuscular injection of streptomycin 5 months, invalid. Lesions extended to the forehead and cheeks, skin irritation, once again hospitalized in our hospital. January 1982 and then take forehead skin nodules disease test, reported as chronic inflammation. General examination, the general state of good, except for 8 months of pregnancy, no abnormalities were found. Hematuria will be normal. Right eye is normal.