超强资料临床医学_眼科学课件 眼睑泪器眼表病

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1、第三章眼睑病diseaseoftheeyelid8/31/20211第一节概述Generaldescription8/31/20212一、麦粒肿hordeolum病因Etiology多为金黄色葡萄球菌感染Mostarecausedbyinfectionofstaphylococcusaureus8/31/20213临床表现Clinicalfinding患部有红肿热痛的典型急性炎症表现Therearetypicalsymptomsofacuteinflammationsuchasred,swelling,feverandpaininsufferedarea.内麦

2、粒肿internalherdeolum外麦粒肿externalherdeolumzhil;liao8/31/20214治疗Treatment局部热敷，切开排脓。localhotcompression,incisionanddrainage.8/31/20215二、霰粒肿Chalazion临床表现Clinicalfindings:眼睑皮下圆形质块、大小不一。Palpebralsubcutaneousroundmasswithdifferentsizes.8/31/20216治疗Treatment热敷、手术切除。hotcompression,operativeex

3、cision.8/31/20217三、睑缘炎Blepharitis眦部睑缘炎Angularblepharitis临床表现Clinicalfindings睑缘充血、主觉痛痒及烧灼感。Therearemarginalhyperemiaandpain,itching,burningsensationassymptoms.8/31/20218治疗Treatment以生理盐水或3%硼酸溶液每日清洗睑缘Washthemarginwithphysiologicalsalineor3%borricacidsolutioneveryday.涂含有抗生素的油膏dropinoint

4、mentcontainingantibiotic.8/31/20219第四章泪器病Diseaseofthelacrimalapparatus8/31/202110第一节泪囊炎Dacryocystitis一、慢性泪囊炎Chronicdacryocystitis临床表现Clinicalfindings泪溢、结膜充血。挤压泪囊区有粘液或粘液脓性分泌物自泪小点流出。Thereareepiphora,conjunctivalhyperemia.Presstheareaofthedacryocystitisthereismucousormucopurulentsecret

5、ionflowingoutfromthelacrimalpunctum.8/31/202111治疗Treatment1药物治疗Pharmacotherapy抗生素点眼Dropantibioticeyedrops2手术治疗Treatmentbysurgery泪囊鼻腔吻合术Dacryocystorhinostomy8/31/202112二、急性泪囊炎Acutedacryocystitis临床表现Clinicalfindings泪囊区有急性炎症的表现Thereismanifestationofacuteinflammationintheareaofthedacryo

6、cyst8/31/202113治疗Treatment局部热敷、抗生素点眼或全身应用localhotcompression,instillationofantibioticeyedrops,systemicuseofantibiotic8/31/202114