AIM:To access the surgical outcomes of early excision of corneal dermoids with isoflurane inhalation in infancy.METHODS:Eighteen patients aged from 1 to 6 months with corneal dermoids underwent simple excision.The incision was covered by conjunctiva or amniotic membrane under isoflurane inhalation.Intravenous inhalational anesthesia was adopted.RESULTS:The lesions of all 18 cases were located near the limbus of the cornea in the inferotemporal quadrant,and could only rarely be observed in more central regions of the cornea existed.The way of isofluane inhalation was safe to children and supported by operation at early age.With 6 months to 5 years follow-up,17 cases postoperative results reached to uncomplicated healing with cosmetic improvement,only 1 case recurrent.CONCLUSION:Surgical interventions in children of corneal dermoids with isoflurane inhalation before 6 months are recommended.

目的:分析儿童过敏性结膜炎误诊情况。方法:对临床上被误诊62例的儿童过敏性结膜炎进行回顾性分析。结果:误诊的疾病为沙眼26例,慢性卡他性结膜炎13例,急性病毒性结膜炎8例,泪道阻塞7例,上呼吸道感染3例,泌尿系统疾病4例和肝炎1例。结论:儿童过敏性结膜炎的发病率逐渐升高,临床医师应提高对过敏性结膜炎临床特点、诊断以及临床误诊和鉴别诊断的认识。

采用酶联免疫吸附试验检测256例儿童过敏性结膜炎患者血清总IgE及特异性IgE,其中检测吸入性过敏原230例,检测食入性过敏原200例.结果 表明,两者的总IgE阳性率达99.2%(254/256);吸入组所检测的14项过敏原中特异性IgE总阳性率为93.5%,以尘螨、粉螨阳性率最高;食入组在所检测的12项过敏原中出现特异性IgE总阳性率51.0%,以鱼和蟹虾最高;常年性过敏性结膜炎、春季角结膜炎和特应性角结膜炎主要以尘螨、粉螨以及屋尘为主;季节性过敏性结膜炎主要以树花粉、蒿草为主.4种过敏性结膜炎主要为鱼、蟹虾食入性过敏原.