EyeWorld China March 2019 Issue

2019年3月 63 EWAP ࢟଎ 分枝杆菌污染的供体角膜 可以使移植手术变成一片 混乱 手 ׷Ŀԙşŀ෿ઍĄŬ ǰĀĻĩ뺯ȤϙĴ뻟7< .GWXGP뻟 M i n h T r i Hua, MD ćlj ઴'5%45 ࡈ Յ ęĜĘॏ௞ąĂċԴ੾ࡡ౪Ǧ෿ ઍĀԇૼ뻟ζгąƋ׷ ة ʌ෿ઍ ĀƂɫ뺯 ᝽͋ࣚ⫧▘բᖓ'0(. ೞ༢ ŭ ʃĂǩ ξȵȡਮ͠ˈ ɩą&GUEGOGV੾ʭѱԴ੾ࡡ౪ ܭ -'/& ਐ(WEJU ʭѱ ؽ ѷă ݙ 뺯ࡡ౪ˀĄύƋ׷ֶŀćƋ׷ ة ̑҄뻟Ƌ׷ŊĈşŀ΀̜˄ş ग़뻟׷ŶljͅĐΏਲ਼lsưʼnČ뺯 ȆŞ غ ࢚෕ć׷Ŷlj Đг׳Ƌ ׷ġķ뻟ʽࡡাѷ઄̀஻াѷls ưіȡ뺯ʙĿŠ͎ࣂࡡ౪ˀĀŚ ʌɕ෕ԓͷ뻟ŴĶʼnŨdž ک ąা ѷ׼ƻ෿ઍ뺮Ɨઍ뺯lj Đ뻟Ȇ Ş غ ࢚෕Ȯʽࡡাѷ׼াѷŜπ lsभȡπ۬Տœຑ႞ཕ뺯 πlsभœຑ႞ཕЙབԪćǘ ցؗġ뻟ĻŘć ע ᔰ뻟njŠnjŀ ƛˀşƍ뺯̋ĶĜ ڇ őыဴ౺̑ Šыဴăƽਮ͠ĀƯĜƗઍ뻟Ե ĈЙབĀࣕƺ뺯œຑ႞ཕĀĂċ ۈ ׻ԵĈqŨюŀǥrĀ̖ž뻟Š ֢ϯƗઍ뻟.#5+-׷ŶƗઍ뻟ѱ ٽ Š غݛ ࢚Ӎ஛Ɨઍ ݧ ОȠȱ뺯Ũ юŀǥĀœຑ႞ཕŢ ݷ şƗઍŠ ڞ şȡƗઍĝɿĎɿȶđ뺯 ᝽ ࣚ⫧Ϋᓦ┯ᇅᇜ ׷Ŷlj Đ뻟ਮ͠Āಬɕ˸ƺ 7%8# NQI/#4뺯&T *WC ӍȺǜƂƈਮ͠ǙǗƸ뻟źȺ͎ ǡƫĎনз뺯ਮ͠ćĕċĴȊŊ Ĉग़ ޕ 뺯ജᎈ ࠉ নзşƍĠ̎Դ ੾༞੆뻟ĕȏ༞੆Ŗ ح ƻ෺ႊ ą뺯༞੆ʞǘࡡ౪ˀŠԴ੾׼Ι ƥǎ뺯&T *WCũ˨ƈਮ̹͠ů ߡ ɞ ޞ ɪ Z ĐŠჹҘ೺ٌ Ş௹ М ؠ Z Đ뺯ŦĴȊ뻟ŴŊĈӕů ѱΙպٌ뻟ŘŶŴĜӕů뺯 ĐŶ뻟༞੆ũ˨͔֚ ׷Ŷ Đ 뻟ȚĄ˸ƺŊĈɩėƗઍ Ā̊ ژ 뻟7%8#ħ NQI/#4뺯 q༞੆ćLjȀ뻟Ȼ׽Ȼę뺯ʾƓ Ƞѝ ڝג ై෗ 1%6 ͎Ф༞੆ ʞٝȢʞǘࡡ౪ˀŠ׼ΙĀιʆ ǚ뻟r&T *WCĸ뺯 ਮ͠Ā ܭ ਐƶޯ௴Ȁ ث Ա೺ ٌˍ˖ OI F ܭ ਐ Đ뻟ƔŶ OI F뺯&T *WCȝਮ͠ʽႊ ƈʭֶؘŀ뻟Ŵȝ ث Ա೺ٌҕŪ ՍӘ೺ٌˍ˖ OI Z Đ뻟Ȗ ɥ̹ů ċʃ뻟ǜĴ̹ů ث М ج ɪ ۀ ɕ઄ Z Đ뺯 πlsभœຑ႞ཕĀ ܭ ਐĴǎ ʼnǥ뻟Ȃժཕཕ͒Ʀ ࡋ 뺯׼ǘę ցʭḒĀƶޯ뻟̹ů̑ཾૼƧՍ Ә೺ٌ뻟͗ůʼnƬ뻟Ĝర֢ख ۽ 뻟 ĻĩĜŢਮ͠мŀࣕȡ뺯ԶѤ ܭ ਐ˫ ە Āਮ͠뻟ćĠƞ ۽ ˀƶޯ ġ௴Ȁ ߡ ɞ ޞ ɪĻŘ͎Ƭ ܭ ਐls ư뻟ؓƔࡥռը֪ʼnɺ뺯 ĕĴȊ뻟&T *WCʵėąŴֶ Իųŀˀ ة Ā͎Ф뻟নзşƍĀ ųŀˀĄ ྦǼœຑ႞ཕ 뻟ĕĄĂ ƞ͒ǘŨюŀǥĀπlsभœຑ ႞ཕ뺯 ྦǼœຑ႞ཕ ć t ʇ ĪŀǥŖČ뻟ĻĩĈևǥĀাѷ ʿ뺯ĕƞųŀˀ פ ąǢƢŠѱ ٽ Ӎ غ ࢚ƗઍȠȱŘʌ뻟ńĻŘ ڇ ő֢ϯŠ౪ɍˀ뺮ࡡ౪ˀӍͩ װ DžƋ׷ŶƗઍ뺯 ׷Ŷljȕċʃ뻟ਮ͠Ā7%8# ħ NQI/#4뺯Ŵũ˨ ܭ ਐlj ĂċʃŶ뻟&T *WCşƍąࡡ౪ ˀ ׼Ιιʆǚԇ៏ĀȪƍũ˨ Ȼ͔뺯qāŊĈğėĥĀ༞੆뻟 ȚĄԇ៏ĀࠗɡĈȻ͔뺯ԇ៏ ȻŪˊɡ뻟ġ೚ˌœȻɃ뻟ԇ៏ ˪ՙȻၭϙ뺯༞੆ęŇăȻ뺯 ā Ķ ź ਮ ͠ ̹ ů ث М ج ɪ Z Đ뻟 ߡ ɞ ޞ ɪ Z Đ뻟ჹҘ ೺ٌ Ş௹М ؠ Z Đ뻟ՍӘ೺ ٌˍ˖ OI Z Đ뺯ėlj ċʃ뻟7%8#Μų͎Ƭė NQI/#4뻟ȚĄė ܭ ਐlj ċʃ뻟 ਮ͠Ţ ۽ ˀƶޯŠˍ˖ ߂ ŀٌă खѰą뻟r&T *WC ĸ뺯 & T *WC şƍ뻟ԇ៏ć ܭ ਐ lj Š ċʃĴşŀąɘĂϳȻ ͔ Đ 뻟ԇ៏ΏŏĴǎşŀ ąȻ͔뻟ࠗɡȮѬЅɡėɃɡ뻟 ˪ՙƑȀၭϙ뺯 ᝽ ࣚ⫧≎࣋'0(. ೞ༢ ā Ķ ć lj Đ ȶ ҫ ƙ ą &/'-뺯ćƋ׷ ة 뻟˭ǯĪƙࡡ ౪ˀٝҕ뺯qāĶů඙ࢧȿŜlj Ăơ&/'-౪Ǧ뻟r&T *WC̛ࣹ ė뺯qȚĄ뻟ԇ៏˄ŊĈΏࡡ౪ˀ ŜĎ뻮̋ĶঞƔྀć׼ΙĘ뺯ųŀ ˀƓŝৗՎāĶনзԶǕ뻟ɘDŽ াѷŠઍɡ뺯āĶăīăů඙ࢧ ƋƛȿŜ༞੆៏뻟˄ůŀȗॱnj ڮ Ҁ뺯r ųŀˀζгׅФ༞੆៏ʭĈ ྦǼœຑ႞ཕ &0#Ԫć뺯ɕˌ Ɯȡœຑ႞ཕাѷঞƔіȡ뺯ų ŀˀઍɡģĄіȡ뺯 & / ' - ٝ ҕ Ŷ뻟ਮ ͠ Ā 7%8#ħ 뺯׷Ŷǡ ̡뻟ŴŊ Ĉƈਮ̹͠ůѱΙպٌ ۀ ɕ઄뺯 Ŵćά̰ʅĈ ܭ ਐĀ׼ໆĘ뻟ƣ ௴Ȁąƽǻ ߂ ŀٌ뺯ć'5%45 ࡈ ՅęĜǡă΅뻟&T *WCনзą ਮ͠뻟Ţਮ͠ĀԇŰʼn͟Nj뺯ė lj ċʃ뻟ӕů ߂ ŀٌ뺯ŴĸŴ ĜǞơনзਮ͂͠ פ ҫşĀĻ ĩ뺯 EWAP 参考文献 1. De Groote MA, Huitt G. Infections due to rapidly growing mycobacteria. Clin Infect Dis. 2006;42:1756–63. 2. Ryu YJ, et al. Diagnosis and treatment of nontuberculous mycobacterial lung disease: clinicians’ perspectives. Tuberc Respir Dis (Seoul). 2016;79:74–84. 3. Akram SM, Bhimji SS. Mycobacterium chelonae. StatPearls. May 16, 2017. ່઎ۡ땻'U +XD юѪϡࢍ ܦ еϭ ՐզӍവ ݢ ๋զ ۮ 땾 联系方式 Hua: oogziekten@uzleuven.be '0(.٩┬ԅ࠼Տཕ༫ᯋ Ϋᓦ┯ḫ᪦ጋ by Stefanie Petrou Binder , MD EyeWorld Contributing Writer Դ੾༞੆៏๹ࡡ౪ˀιʆǚŀǥ뺯̋Ķũ˨Ȫƍħ˪ʆăʓĀɃɡ൅ž뻟ΏŏĴǎȻ Ƀ˪ʆȻၭϙ뺯 Ď۷뻭/KPJ 6TK *WC /& Day 51 Day 137