2025/1/5第五章結(jié)膜病1第五章
結(jié)膜病
2025/1/5第五章結(jié)膜病2第一節(jié)細(xì)菌性結(jié)膜炎
Bacterialconjunctivitis
2025/1/5第五章結(jié)膜病3一、急性卡他性結(jié)膜炎
Acutecatarrhalconjunctivitis
病因
Etiology臨床表現(xiàn)
Clinicalfindings診斷
Diagnosis治療
Treatment預(yù)防
Prevention
2025/1/5第五章結(jié)膜病4二、慢性卡他性結(jié)膜炎
Chroniccatarrhalconjunctivitis
病因
Etiology臨床表現(xiàn)
Clinicalfindings診斷
Diagnosis治療
Treatment
2025/1/5第五章結(jié)膜病5三、淋菌性結(jié)膜炎Gonococcalconjunctivitis臨床表現(xiàn)
Clinicalfindings
眼分泌物增多結(jié)膜充血
ocularsecretionandconjunctivalhyperemia.2025/1/5第五章結(jié)膜病6治療
Treatment首先要查找致病原因，然后針對不同致病原因進(jìn)行恰當(dāng)治療。firstofall,itisnecessarytolookforthecause,andthentogivepropermanagementaccordingtodifferentcauses.2025/1/5第五章結(jié)膜病7第二節(jié)衣原體性結(jié)膜炎
Chlamydialconjunctivitis
2025/1/5第五章結(jié)膜病8沙眼
Crachoma病因
Etiology沙眼衣原體感染
infectionofChlamydiatrachomatis臨床表現(xiàn)
Clinicalfindings眼分泌物增多，結(jié)膜充血，瞼結(jié)膜乳頭增生，上下穹窿部結(jié)膜布滿濾泡。ocularsecretionandconjunctivalhyperemia.，papillaryhyperplasiainpalpebralconjunctiva,folliclesarefullofupperandlowerfornicalconjunctiva.2025/1/5第五章結(jié)膜病9后遺癥與并發(fā)癥
Sequelaandcomplication
1、瞼內(nèi)反及倒睫Entropionandtrichiasis2、上瞼下垂
Blepharoptosis3、瞼球粘連
Symblepharon4、實(shí)質(zhì)性角結(jié)膜干燥癥
Parenchymatousxerosisofconjunctiva5、慢性淚囊炎
Chronicdacryocysititis6、角膜混濁
Cornealopacity2025/1/5第五章結(jié)膜病10治療
Treatment包括局部用藥
systemicadministration全身用藥及手術(shù)治療
operativetreatment.2025/1/5第五章結(jié)膜病11第三節(jié)病毒性結(jié)膜炎
Viralconjunctivitis流行性角結(jié)膜炎
Epidemickeratocojunctivitis病因
Etiology病原體是腺病毒
Thepathogenisadenovirus.2025/1/5第五章結(jié)膜病12臨床表現(xiàn)
Clinicalfindings刺激癥狀顯著,自覺有異物感、刺癢、疼痛、畏光和流淚
appearstrongirritatingsymptoms,suchasforeignbodysensation,itching,pain,photophobiaandtearingetc.耳前淋巴結(jié)腫大并有壓痛preauricularlymphadenectasisandtenderness.同時(shí)出現(xiàn)角膜炎癥狀atthesametime,appearthesymptomofkeratitis2025/1/5第五章結(jié)膜病13治療
Treatment本病無特效藥物
thereisnospecificdrugforthedisorder藥物治療以局部治療為主
mainlydependsontopicaltreatment.2025/1/5第五章結(jié)膜病14第六章角膜病
Diseaseofthecornea
2025/1/5第五章結(jié)膜病15第一節(jié)角膜炎癥
Cornealinflammation
病因
Etiology外源性、內(nèi)源性、局部蔓延
exogenous.endogenous.localspeading診斷
Diagnosis癥狀實(shí)驗(yàn)室檢查
clinicalfindingslabexaminations2025/1/5第五章結(jié)膜病16治療原則
Thetreatmentprinciples
1.
去除病因
ridofpathogeniccauses2.
積極控制感染
controlinfection3.
增強(qiáng)全身及局部抵抗力
enhancesystemicandlocalresistance4.
促進(jìn)愈合
promotetoheal5.減少瘢痕形成
reducescarformation
2025/1/5第五章結(jié)膜病17第二節(jié)炎癥
Keratitis
2025/1/5第五章結(jié)膜病18細(xì)菌性角膜潰瘍
Bacterialcornealulcer
臨床表現(xiàn)Clinicalfindings治療Treatment2025/1/5第五章結(jié)膜病19單純皰疹病毒性角膜炎
Herpessimplekeratitis
臨床表現(xiàn)
Clinicalfindings治療
Treatment2025/1/5第五章結(jié)膜病20蠶蝕性角膜潰瘍
RodentulcerorMoorenulcer
臨床表現(xiàn)Clinicalfindings治療Treatment2025/1/5第五章結(jié)膜病21角膜軟化癥
Keratomalacia
臨床表現(xiàn)
Clinicalfindings治療
Treatment2025/1/5第五章結(jié)膜病22第七章鞏膜病
Scleraldisorder
2025/1/5第五章結(jié)膜病23第一節(jié)概述
Generaldescription
原因
Thecause1.與多種全身感染性疾病有關(guān)
Relatedtomanysystemicinfectiousdisorders2.
外傷或感染
Theinjuryorinfection3.自身免疫性疾病
Autoimmunedesmosis2025/1/5第五章結(jié)膜病24臨床特點(diǎn)
Clinicalcharacteristic治療
Treatment2025/1/5第五章結(jié)膜病25第二節(jié)表層鞏膜炎
Episcleritis
一．結(jié)節(jié)性表層鞏膜炎
Nodularepiscle
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