医学结膜病课件

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1、结膜病Disorderoftheconjunction哈尔滨医科大学第一附属医院眼科9/25/20211第一节结膜炎总论9/25/20212睫状充血与结膜充血的鉴别球结膜充血睫状充血1）起源：　结膜血管角膜缘血管网2）部位：越近穹窿越明显　近角膜缘越明显3）颜色：鲜红色　　　　　深红色4）移动性：　随结膜移动　不随结膜移动5）1‰肾上腺素滴眼：消失　不消失6）病种：　　结膜病　　角膜及虹膜睫状体病9/25/202139/25/202149/25/20215第二节细菌性结膜炎Bacterialconj

2、unctivitis9/25/20216一、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Prevention9/25/20217二、慢性卡他性结膜炎Chroniccatarrhalconjunctivitis病因Etiology临床表现Clinicalfindings诊断Diagnosis治疗Treatment9/25/20218三、淋菌性结膜炎Gonococcal

3、conjunctivitis临床表现Clinicalfindings眼分泌物增多结膜充血ocularsecretionandconjunctivalhyperemia.9/25/20219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.9/25/202110第三节衣原体性结膜炎C

4、hlamydialconjunctivitis9/25/202111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,folliclesarefullofuppera

5、ndlowerfornicalconjunctiva.9/25/202112后遗症与并发症Sequelaandcomplication1、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Cornealopacity9/25/202113治疗Treatment包

6、括局部用药systemicadministration全身用药及手术治疗operativetreatment.9/25/202114第四节病毒性结膜炎Viralconjunctivitis流行性角结膜炎Epidemickeratocojunctivitis病因Etiology病原体是腺病毒Thepathogenisadenovirus.9/25/202115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appearstrongirritatingsympt

7、oms,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,appearthesymptomofkeratitis9/25/202116治疗Treatment本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainl

8、ydependsontopicaltreatment.9/25/202117第六章角膜病Diseaseofthecornea9/25/202118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clinicalfindingslabexaminations9/25/202119侵润溃疡形成透明云翳、白斑穿孔角膜瘘粘连性