2022年醫(yī)學(xué)專題-第四篇-多為金黃色葡萄球菌感染

第三章眼瞼(yǎnjiǎn)病diseaseoftheeyelid11/14/20221第一頁，共十五頁。第一節(jié)概述(ɡàishù)

Generaldescription11/14/20222第二頁，共十五頁。一、麥粒腫

hordeolum

病因(bìngyīn)Etiology多為金黃色葡萄球菌感染

Mostarecausedbyinfectionofstaphylococcusaureus11/14/20223第三頁，共十五頁。

臨床表現(xiàn)

Clinicalfinding

患部有紅腫(hónɡzhǒnɡ)熱痛的典型急性炎癥表現(xiàn)Therearetypicalsymptomsofacuteinflammationsuchasred,swelling,feverandpaininsufferedarea.內(nèi)麥粒腫internalherdeolum外麥粒腫externalherdeolumzhil;liao11/14/20224第四頁，共十五頁。治療(zhìliáo)

Treatment局部(júbù)熱敷，切開排膿。localhotcompression,incisionanddrainage.11/14/20225第五頁，共十五頁。二、霰粒腫

Chalazion

臨床表現(xiàn)Clinicalfindings:眼瞼(yǎnjiǎn)皮下圓形質(zhì)塊、大小不一。Palpebralsubcutaneousroundmasswithdifferentsizes.11/14/20226第六頁，共十五頁。治療(zhìliáo)

Treatment熱敷、手術(shù)(shǒushù)切除。hotcompression,operativeexcision.11/14/20227第七頁，共十五頁。三、瞼緣炎

Blepharitis眥部瞼緣炎Angularblepharitis

臨床表現(xiàn)Clinicalfindings

瞼緣充血(chōngxuè)、主覺痛癢及燒灼感。Therearemarginalhyperemiaandpain,itching,burningsensationassymptoms.

11/14/20228第八頁，共十五頁。治療(zhìliáo)

Treatment以生理鹽水或3%硼酸溶液每日清洗瞼緣

Washthemarginwithphysiologicalsalineor3%borricacidsolutioneveryday.涂含有(hányǒu)抗生素的油膏

dropinointmentcontainingantibiotic.11/14/20229第九頁，共十五頁。第四章淚器病

Diseaseofthelacrimalapparatus

11/14/202210第十頁，共十五頁。第一節(jié)淚囊炎

Dacryocystitis一、慢性淚囊炎Chronicdacryocystitis臨床表現(xiàn)Clinicalfindings淚溢、結(jié)膜充血。擠壓(jǐyā)淚囊區(qū)有粘液或粘液膿性分泌物自淚小點(diǎn)流出。Thereareepiphora,conjunctivalhyperemia.Presstheareaofthedacryocystitisthereismucousormucopurulentsecretionflowingoutfromthelacrimalpunctum.11/14/202211第十一頁，共十五頁。治療(zhìliáo)

Treatment1藥物治療(zhìliáo)Pharmacotherapy抗生素點(diǎn)眼Dropantibioticeyedrops

2手術(shù)治療Treatmentbysurgery淚囊鼻腔吻合術(shù)Dacryocystorhinostomy11/14/202212第十二頁，共十五頁。二、急性(jíxìng)淚囊炎

Acutedacryocystitis臨床表現(xiàn)Clinicalfindings淚囊區(qū)有急性炎癥(yánzhèng)的表現(xiàn)Thereismanifestationofacuteinflammationintheareaofthedacryocyst11/14/202213第十三頁，共十五頁。治療(zhìliáo)

Treatment局部熱敷、抗生素點(diǎn)眼或全身(quánshēn)應(yīng)用localhotcompression,instillationofantibioticeyedrops,systemicuseofantibiotic11/14/202214第十四頁，共十五頁。內(nèi)容(nèiróng)總結(jié)第三章眼瞼病diseaseoftheeyelid。3/1/2022。治療(zhìliáo)Treatment。治療(zhìliáo)Treatment。hotc