临床医学眼科学ppt课件眼睑疾病

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1、Diseasesofeyelids北京大学人民医院眼科陈晶华医学课件园www.yxkjy.comtheanatomyoflidsupperandlowerlids上下睑palpebralmargine睑缘(ZeisMoll)palpebralfissure睑裂内外眦angulusoculi泪阜carunculalacrimalis医学课件园www.yxkjy.comtheanatomyoflidsSkin皮肤层Subcutaneoustissue皮下组织层Orbicularismuscle肌层Tarsus睑板层MeibomianCon

2、junctiva结膜层医学课件园www.yxkjy.comThebloodsupplyofeyelids眼睑动脉弓由颈外动脉的面动脉支和颈内动脉的眼动脉支组成浅—颈内颈外静脉深—海绵窦耳前、腮腺、颌下淋巴结医学课件园www.yxkjy.comThefunctionofthelidsandtreatmentProtection保护Twinkling瞬目Integrity完整Beauty美观Function功能医学课件园www.yxkjy.comDiseasesoflidsInflammationTumorDislocationandma

3、lfunction医学课件园www.yxkjy.comBlepharitis睑缘炎Squamousblepharitis鳞屑性Ulcerativeblepharitis溃疡性Angularblepharitis眦部医学课件园www.yxkjy.comSquamousblepharitis鳞屑性病因：睑缘皮脂溢出造成的慢性炎症症状：痒、痛、烧灼检查：红、鳞屑、分泌物、痂、睫毛脱落可再生治疗：去因、3%硼酸医学课件园www.yxkjy.comUlcerativeblepharitis溃疡性病因：多为金葡菌引起的睫毛及腺体慢性或亚急性化脓炎

4、症。症状：严重痒、痛、烧灼检查：分泌物多、小脓泡、痂、溃疡、睫毛脱落不再生治疗：去因、3%硼酸、抗生素膏医学课件园www.yxkjy.comAngularblepharitis眦部病因：Morax-Axenfeld,deficiencyofVitB2。症状：痒、异物、烧灼检查：双侧红、糜烂治疗：0.2%-0.25%硫酸锌眼水、VitB2医学课件园www.yxkjy.comStaphylococcalblepharitisChronicstaphylococcalblepharitis.A.Chronicerythemaandindur

5、ationofthelidmarginduetocolonizationofthelidmarginwithpathogenicstaphylococci.B.Characteristicfeaturesofthelidmarginwithstaphylococcaldiseaseincludingcollarettesandhordeola.医学课件园www.yxkjy.comDifferentiationdiagnosisSebaceousglandcarcinomaintheupperandlowerlidsthatresemb

6、leschronicblepharitis医学课件园www.yxkjy.comHordeolum睑腺炎外睑腺炎－麦粒肿内睑腺炎－睑板腺感染临床特点：红、肿、热、痛、淋巴结治疗：热敷、抗生素、切开排脓、全身治疗医学课件园www.yxkjy.comDeterioration恶化蜂窝组织炎－全身感染医学课件园www.yxkjy.comChalazion睑板腺囊肿睑板腺特发的无菌性慢性肉芽肿特点：无痛结节治疗：热敷、激素、手术医学课件园www.yxkjy.comGranulomas肉芽肿Pyogenicgranulomasinconjunct

7、ivaoverchalazionsintheupperandlowereyelids医学课件园www.yxkjy.comDifferentiationdiagnosis（1）Sebaceousglandcarcinomainthelowerlid.医学课件园www.yxkjy.comDifferentiationdiagnosis（2）NodularbasalcellcarcinomawithrollededgesPigmentednodularbasalcellcarcinoma.医学课件园www.yxkjy.comDifferen

8、tiationdiagnosis（3）CysticbasalcellcarcinomaNotchingoflidfromafibrosingbasalcellcarcinomainvolvingthewholelower