[关键词]
[摘要]
目的：探讨30g/L碘酊涂擦创面及病灶清除联合2g/L氟康唑治疗真菌性角膜溃疡的效果。
方法：对临床上经角膜刮片镜检确诊的真菌性角膜炎50例50眼进行局部清创，碘酊烧灼，所有患者均给予2g/L氟康唑全身治疗，2g/L氟康唑滴眼液及氧氟沙星眼药水点眼，局部涂以30g/L阿托品眼膏常规散瞳。
结果：患者50例中，40例痊愈，8例好转，2例恶化手术治疗。
结论：真菌性角膜炎在早期及时确诊后，局部病灶清除，碘酊烧灼创面联合氟康唑全身及局部治疗可以取得良好疗效。
[Key word]
[Abstract]
AIM: To explore the effect of 30g/L iodine rubbed and debridement of wound together with 2g/L fluconazole in the treatment of fungal corneal ulcers.
METHODS: Fifty fungal keratitis cases(50 eyes)diagnosed by corneal smear examination were cleaned locally, iodine blanch. All patients were given 2g/L fluconazole for systemic treatment, treated eye with 2g/L fluconazole eye-drops and loxacin eye-drops, and 30g/L atropine eye ointment dilate the pupils.
RESULTS:Fifty cases(50 eyes)were selected, of which, 40 cases were healed, 8 cases were improved and 2 cases were aggravated with operation being given.
CONCLUSION:After early and timely diagnosis of fungal keratitis, local debridement, 30g/L iodine rubbed the wound and joint with systemic and local treatment of fluconazole can achieve good effect.
[中图分类号]
[基金项目]
