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目的 探讨玻璃体切除联合球内注入万古霉素 +丁胺卡那霉素治疗眼内炎的临床效果。方法 12 2例眼内炎患者接受玻璃体切除 ,同时球内注入万古霉素 (美国Lilly公司 ) 1mg/ 0 1ml,丁胺卡那霉素0 4mg/ 0 1ml,细菌培养 +药物敏感结果回报后 ,改用敏感药物静脉滴注。结果 联合用药组视力提高的例数较单纯注药组为多 ,眼球萎缩的例数减少 ,平均住院天数减少。结论 玻璃体切除联合球内注入万古霉素 +丁胺卡那霉素治疗眼内炎疗效肯定 ,对视网膜毒性小 ,值得推广应用
Objective To investigate the clinical effect of vitrectomy combined with vancomycin plus amikacin in the treatment of endophthalmitis. Methods 12 cases of endophthalmitis patients underwent vitrectomy. At the same time, vancomycin (Lilly, USA) 1mg / ml and amoxicillin 0 4mg / ml were injected intravitreally. After bacterial culture + drug sensitive results were reported, Use sensitive drugs intravenous infusion. Results Compared with the simple injection group, the number of cases of visual acuity increased in combination group decreased, the number of atrophic cases decreased and the average days of hospitalization decreased. Conclusion vitrectomy combined with intra-balloon infusion of vancomycin + amikacin in the treatment of endophthalmitis certainly positive effect on retinal toxicity, it is worth promoting the application