新生儿急性泪囊炎的治疗探讨

摘要

目的 观察在新生儿急性泪囊炎早期行泪道抽吸+泪道探通的临床疗效.方法 回顾性分析2012年1月-2014年2月就诊于该院泪道专科门诊的所有急性泪囊炎新生儿共23例23眼,其中8例为外院经过全身及局部抗生素治疗后疗效欠佳转诊该院的患儿,15例为患病后首诊该院并早期行泪道抽吸+探通的患儿,所有患儿均早期采用泪道抽吸联合泪道探通治疗,治疗后追踪随访半年,统计患儿总治疗时间、探通次数及并发症.结果 转诊患儿的平均治疗时间(17.00 ±4.66)d,平均探通次数为3.75次,并发症2例,首诊患儿的平均治疗时间(9.93 ±3.79)d,平均探通次数为1.8次,并发症0例.结论 新生儿急性泪囊炎早期行泪道抽吸+探通可缩短患儿的治疗时间,防止病情恶化.%Objective To explore the method of lacrimal pumping and probing in the early stage of the acute neonatal dacryocystitis comparing to the traditional treatments.Methods Retrospective analysis of 23 eyes with neonatal dacryocystitis which were divided in-to two groups.A total of 8 cases in one group were transferred from other hospitals after systemic and local usage of antibiotics.15 cases of the other group receiving treatment of lacrimal pumping and probing were the patients newly diagnosed.The total treatment time,pro-bing times and complication are compared between two groups.Results The average period of treatment of patients newly diagnosed are(9.93 ±3.79)days and the other group were(17.00 ±4.66)days.The number of probing times of new patients was 1.8 and the number of the other group was 3.75.The numbers of transferred patients with complications were 2 but there was none in the patients newly diagnosed.Conclusions Early treatment of lacrimal pumping and probing in patients with acute neonatal dacryocystitis is neces -sary.It may shorten the period of treatment and prevent complications.