第五章 结膜病.ppt

2020 1 27 1 第五章结膜病Disorderoftheconjunction 2020 1 27 2 第一节细菌性结膜炎Bacterialconjunctivitis 2020 1 27 3 一 急性卡他性结膜炎Acutecatarrhalconjunctivitis 病因Etiology临床表现Clinicalfindings诊断Diagnosis治疗Treatment预防Prevention 2020 1 27 4 二 慢性卡他性结膜炎Chroniccatarrhalconjunctivitis 病因Etiology临床表现Clinicalfindings诊断Diagnosis治疗Treatment 2020 1 27 5 三 淋菌性结膜炎Gonococcalconjunctivitis 临床表现Clinicalfindings眼分泌物增多结膜充血ocularsecretionandconjunctivalhyperemia 2020 1 27 6 治疗Treatment 首先要查找致病原因 然后针对不同致病原因进行恰当治疗 firstofall itisnecessarytolookforthecause andthentogivepropermanagementaccordingtodifferentcauses 2020 1 27 7 第二节衣原体性结膜炎Chlamydialconjunctivitis 2020 1 27 8 沙眼Crachoma 病因Etiology沙眼衣原体感染infectionofChlamydiatrachomatis临床表现Clinicalfindings眼分泌物增多 结膜充血 睑结膜乳头增生 上下穹窿部结膜布满滤泡 ocularsecretionandconjunctivalhyperemia papillaryhyperplasiainpalpebralconjunctiva folliclesarefullofupperandlowerfornicalconjunctiva 2020 1 27 9 后遗症与并发症Sequelaandcomplication 1 睑内反及倒睫Entropionandtrichiasis2 上睑下垂Blepharoptosis3 睑球粘连Symblepharon4 实质性角结膜干燥症Parenchymatousxerosisofconjunctiva5 慢性泪囊炎Chronicdacryocysititis6 角膜混浊Cornealopacity 2020 1 27 10 治疗Treatment 包括局部用药systemicadministration全身用药及手术治疗operativetreatment 2020 1 27 11 第三节病毒性结膜炎Viralconjunctivitis 流行性角结膜炎Epidemickeratocojunctivitis病因Etiology病原体是腺病毒Thepathogenisadenovirus 2020 1 27 12 临床表现Clinicalfindings 刺激症状显著 自觉有异物感 刺痒 疼痛 畏光和流泪appearstrongirritatingsymptoms suchasforeignbodysensation itching pain photophobiaandtearingetc 耳前淋巴结肿大并有压痛preauricularlymphadenectasisandtenderness 同时出现角膜炎症状atthesametime appearthesymptomofkeratitis 2020 1 27 13 治疗Treatment 本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainlydependsontopicaltreatment 2020 1 27 14 第六章角膜病Diseaseofthecornea 2020 1 27 15 第一节角膜炎症Cornealinflammation 病因Etiology外源性 内源性 局部蔓延exogenous endogenous localspeading诊断Diagnosis症状实验室检查clinicalfindingslabexaminations 2020 1 27 16 治疗原则Thetreatmentprinciples 1 去除病因ridofpathogeniccauses2 积极控制感染controlinfection3 增强全身及局部抵抗力enhancesystemicandlocalresistance4 促进愈合promotetoheal5 减少瘢痕形成reducescarformation 2020 1 27 17 第二节炎症Keratitis 2020 1 27 18 细菌性角膜溃疡Bacterialcornealulcer 临床表现Clinicalfindings治疗Treatment 2020 1 27 19 单纯疱疹病毒性角膜炎Herpessimplekeratitis 临床表现Clinicalfindings治疗Treatment 2020 1 27 20 蚕蚀性角膜溃疡RodentulcerorMoorenulcer 临床表现Clinicalfindings治疗Treatment 2020 1 27 21 角膜软化症Keratomalacia 临床表现Clinicalfindings治疗Treatment 2020 1 27 22 第七章巩膜病Scleraldisorder 2020 1 27 23 第一节概述Generaldescription 原因Thecause1 与多种全身感染性疾病有关Relatedtomanysystemicinfectiousdisorders2 外伤或感染Theinjuryorinfection3 自身免疫性疾病Autoimmunedesmosis 2020 1 27 24 临床特点Clinicalcharacteristic治疗Treatment 2020 1 27 25 第二节表层巩膜炎Episcleritis 一 结节性表层巩膜炎Nodularepiscle