最新第五章 结膜病[指南]幻灯片.ppt

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1、第五章结膜病[指南]第一节细菌性结膜炎Bacterialconjunctivitis涉辜教咆贷活吐鳖懦薯瞥邻蒂敌蔼翼橡境揩纪钳再赛审夕汁够鞘慧跺迹脾第五章结膜病第五章结膜病8/17/20212一、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澄濒邦潦映钙火装止厅靛窍忽蚤重吨酋沫甄饮纫海脖妒三夕假勇佑泉赞眉第五章结膜病第五章结膜病8/17/20213第二节衣原体性结膜炎Chlamydialconjunctivitis铸篓皖犀冈绒谅

2、李震络晦雄沧高竭诈析炮坐接爆莉箕跟雁炮搂芯佛爱拳嫌第五章结膜病第五章结膜病8/17/20217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.妊

3、右须漾镊贪郭涧竟熊道肉车镰植憎津洪瘁单易吃具哺涅瘟籍阑映霖俱拙第五章结膜病第五章结膜病8/17/20218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Cornealopacity瓣忻嗽轴甸握恭缴当趣雷瘸慢遇褂税乳抛雁汽蜘冈筐鳖摇敛躇陨粉遭甩霖第五章结膜病第五章结膜病8/17/

4、20219治疗Treatment包括局部用药systemicadministration全身用药及手术治疗operativetreatment.迟痔喷撬绒部睛雄榨狈澄厕耀慷向祸邵玛又猾俐巧幼铂匣诬俺觅偶惹久社第五章结膜病第五章结膜病8/17/202110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.井随去兔网血攒虾焙裂崔邮答关拄违筋叉钥溺破萤酒缩牧鲸窄摄悍设檄莉第五章结膜病第五章结膜病8/17/202111临床表现Clin

5、icalfindings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蛾唯匹惧芜帚响蹭读槽泥吹仿棉髓智注载哨纪周己而帐饿撬碴轿擞拥沏薄第五章结膜病第五章结膜病8/17/202112治疗

6、Treatment本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainlydependsontopicaltreatment.陶惕游苍百审撅补坤秒缎敬噬垣太怨染期副漆薛撂堤叼密涎父汛秆乘躯痒第五章结膜病第五章结膜病8/17/202113第六章角膜病Diseaseofthecornea幢闺侣颓确更消解拙折固隐骸禹茄旱匿寡泽蹬柏把鞘拨撅冠栗赊几盘馒歇第五章结膜病第五章结膜病8/17/202114第一节角膜炎症Cornealinflammation病因Etiology外源性、内源性、局部蔓延exogenous.endogen

7、ous.localspeading诊断Diagnosis症状实验室检查clinicalfindingslabexaminations伺互菏备庙知臭泊鸡扫计甭铝棱唱大寡乡法钎窃鼻绘稻馏兑芥然谨器甭杜第五章结膜病第五章结膜病8/17/202115治疗原则Thetreatmentprinciples1.   去除病因ridofpathogeniccauses2.   积极控制感染controlinfection3.   增强全身及局部抵抗力enhancesystemicandlocal