碘酊烧灼联合氟康唑治疗真菌性角膜溃疡的疗效
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Clinical observation of treatment of fungal corneal ulcer with application of iodine tincture and fluconazole
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    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。

    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.

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陈雪芳,刘忠鑫,陈炳荣.碘酊烧灼联合氟康唑治疗真菌性角膜溃疡的疗效.国际眼科杂志, 2013,13(7):1462-1463.

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  • 收稿日期:2013-03-19
  • 最后修改日期:2013-06-19
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  • 在线发布日期: 2013-07-01
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