最新第五章结膜病教学讲义ppt.ppt

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1、第五章结膜病第一节细菌性结膜炎Bacterialconjunctivitis8/28/20212一、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Prevention8/28/20213第二节衣原体性结膜炎Chlamydialconjunctivitis8/28/20217沙眼Crachoma病因Etiology沙眼衣原体感染infectionofChlamydiatr

2、achomatis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.8/28/20218后遗症与并发症Sequelaandcomplication1、睑内反及倒睫Entropiona

3、ndtrichiasis2、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Cornealopacity8/28/20219治疗Treatment包括局部用药systemicadministration全身用药及手术治疗operativetreatment.8/28/202110第三节病毒性结膜炎Viralconjunc

4、tivitis流行性角结膜炎Epidemickeratocojunctivitis病因Etiology病原体是腺病毒Thepathogenisadenovirus.8/28/202111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preauric

5、ularlymphadenectasisandtenderness.同时出现角膜炎症状atthesametime,appearthesymptomofkeratitis8/28/202112治疗Treatment本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainlydependsontopicaltreatment.8/28/202113第六章角膜病Diseaseofthecornea8/28/202114第一节角膜炎症Cornealin

6、flammation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clinicalfindingslabexaminations8/28/202115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enhancesystemicandlocalresist

7、ance4.   促进愈合promotetoheal5.减少瘢痕形成reducescarformation8/28/202116第二节炎症Keratitis8/28/202117细菌性角膜溃疡Bacterialcornealulcer临床表现Clinicalfindings治疗Treatment8/28/202118单纯疱疹病毒性角膜炎Herpessimplekeratitis临床表现Clinicalfindings治疗Treatment8/28/202119蚕蚀性角膜溃疡RodentulcerorM

8、oorenulcer临床表现Clinicalfindings治疗Treatment8/28/202120角膜软化症Keratomalacia临床表现Clinicalfindings治疗Treatment8/28/202121第七章巩膜病Scleraldisorder8/28/202122第一节概述Generaldescription原因Thecause1.与多种全身感染性疾病有关Relatedtomanysystemicinfectiousdisorde