新生儿眼分泌物多的常见原因与治疗

The Causes and Therapy of Infant’s Eye Secretion Overabundance

目的 探讨新生儿眼分泌物多的常见原因及治疗。方法 对 10 6例双眼或单眼分泌物多的新生儿进行临床症状、泪囊挤压试验、结膜囊荧光素钠排空试验及实验室检测 ,包括革兰氏染色涂片 +细菌培养 ,淋球菌、沙眼衣原体、解脲支原体等的PCR检查 ,根据病因采取相应的治疗。结果 有 2 4例 (2 2 .6 4 % )诊断为新生儿泪囊炎 ,82例 (77.36 % )诊断为急性结膜炎 ,其中性传播结膜炎 6 6例 (6 2 .2 6 % )。 6 6例性传播结膜炎中 ,感染淋球菌 36例(5 4 .5 5 % ) ,沙眼衣原体 18例 (2 7.2 7% ) ,解脲支原体 5例 (7.5 8% ) ,合并感染淋球菌和沙眼衣原体 6例 (9.0 9% ) ,淋球菌和解脲支原体 1例 (1.5 2 % )。其余 16例 (15 .0 9% )为急性卡他性结膜炎。 10 6例患儿针对病因治疗全部治愈。结论 新生儿眼分泌物多的原因最常见为性传播性结膜炎及新生儿泪囊炎 ,针对病因治疗效果良好。

Objective To analyze the causes of infant’s eye secretion overabundance and corresponding therapies. Methods One hundred and six cases with infant secretion overabundance in one or two eyes were tested by clinical observation,dacryocys extrusion test,evacuation test of sodium fluorescein in conjunctiva bag and laboratory test,including Glanz dye tablet+bacteria cultivation,PCR of Neisseria gonorrhoeae(NG),chlamydia trachomatics(CT)and Ureaplasma urealyticum(UU).Results Twenty-four cases(22.64%)were diagnosed as infant dacryocystitis,82 cases(77.36%)were diagnosed as acute conjunctivitis,including 66 cases(62.26%)of sexually transmitted conjunctivitis,among which 36 cases(54.55%)infected with NG,18 cases of( 27.27%)infected with CT,5 cases(7.58%)infected with UU,6 cases(9.09%)infected with UG and CT combinedly,1 cases(1.52%)infected with NG and UU combinedly,the rest 16 cases( 15.09%)were acute katalogatitis.106 cases were totally cured according to their causes.Conclusion The most common causes for infant’s eye secretion overabundance are sexually transmitted conjunctivitis and infant's dacryocystitis.The pathogeny-oriented therapy has good effect.