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中华移植杂志(电子版) ›› 2022, Vol. 16 ›› Issue (02) : 101 -104. doi: 10.3877/cma.j.issn.1674-3903.2022.02.008

病例报告

肝移植受者围手术期真菌性眼内炎一例
宋文彬1, 李肖山2, 李勇3, 李兴德1, 龙国慧1, 张阳1, 宋沧桑1,()   
  1. 1. 650024 昆明市第一人民医院 昆明医科大学附属甘美医院药学部
    2. 650024 昆明市第一人民医院 昆明医科大学附属甘美医院肝胆胰血管外科 云南省器官移植研究所
    3. 650024 昆明市第一人民医院 昆明医科大学附属甘美医院眼科
  • 收稿日期:2021-08-25 出版日期:2022-04-25
  • 通信作者: 宋沧桑
  • 基金资助:
    云南省器官移植临床医学中心开放课题(2020SYZ-Z-018、2020SYZ-Z-023); 云南省卫生科技计划项目(2017NS087)

Fungal endophthalmitis during the perioperative period of liver transplant: a case report

Wenbin Song1, Xiaoshan Li2, Yong Li3, Xingde Li1, Guohui Long1, Yang Zhang1, Cangsang Song1,()   

  1. 1. Department of Pharmacy, the First Hospital of Kunming, Calmette Hospital Affiliated to Kunming Medical University, Kunming 650024, China
    2. Organ Transplant Center, the First Hospital of Kunming, Calmette Hospital Affiliated to Kunming Medical University, Kunming 650024, China
    3. Department of Ophthalmology, the First Hospital of Kunming, Calmette Hospital Affiliated to Kunming Medical University, Kunming 650024, China
  • Received:2021-08-25 Published:2022-04-25
  • Corresponding author: Cangsang Song
引用本文:

宋文彬, 李肖山, 李勇, 李兴德, 龙国慧, 张阳, 宋沧桑. 肝移植受者围手术期真菌性眼内炎一例[J/OL]. 中华移植杂志(电子版), 2022, 16(02): 101-104.

Wenbin Song, Xiaoshan Li, Yong Li, Xingde Li, Guohui Long, Yang Zhang, Cangsang Song. Fungal endophthalmitis during the perioperative period of liver transplant: a case report[J/OL]. Chinese Journal of Transplantation(Electronic Edition), 2022, 16(02): 101-104.

眼内炎是由细菌或真菌感染累及玻璃体和前房水的严重感染性眼病,如未及时有效治疗可导致患者视力丧失[1]。几乎所有眼内炎患者均会出现视力下降,部分合并眼部疼痛。真菌性眼内炎常与细菌性、非感染性和肿瘤等病因重叠,确诊较为困难,如缺乏临床经验、经验性使用糖皮质激素以及未采用有效的抗真菌药物治疗,则可能增加患者视力丧失的风险[2]。本文回顾性分析昆明市第一人民医院1例肝移植受者围手术期真菌性眼内炎患者临床资料,现报道如下。

表1 真菌性眼内炎的高危因素和主要致病菌[2,6,7,10,11,12,13,14]
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