第五章 結(jié)膜病課件

2025/1/5第五章結(jié)膜病1第五章

結(jié)膜病

2025/1/5第五章結(jié)膜病2第一節(jié)細(xì)菌性結(jié)膜炎

Bacterialconjunctivitis

2025/1/5第五章結(jié)膜病3一、急性卡他性結(jié)膜炎

Acutecatarrhalconjunctivitis

病因

Etiology臨床表現(xiàn)

Clinicalfindings診斷

Diagnosis治療

Treatment預(yù)防

Prevention

2025/1/5第五章結(jié)膜病4二、慢性卡他性結(jié)膜炎

Chroniccatarrhalconjunctivitis

病因

Etiology臨床表現(xiàn)

Clinicalfindings診斷

Diagnosis治療

Treatment

2025/1/5第五章結(jié)膜病5三、淋菌性結(jié)膜炎Gonococcalconjunctivitis臨床表現(xiàn)

Clinicalfindings

眼分泌物增多結(jié)膜充血

ocularsecretionandconjunctivalhyperemia.2025/1/5第五章結(jié)膜病6治療

Treatment首先要查找致病原因，然后針對不同致病原因進(jìn)行恰當(dāng)治療。firstofall,itisnecessarytolookforthecause,andthentogivepropermanagementaccordingtodifferentcauses.2025/1/5第五章結(jié)膜病7第二節(jié)衣原體性結(jié)膜炎

Chlamydialconjunctivitis

2025/1/5第五章結(jié)膜病8沙眼

Crachoma病因

Etiology沙眼衣原體感染

infectionofChlamydiatrachomatis臨床表現(xiàn)

Clinicalfindings眼分泌物增多，結(jié)膜充血，瞼結(jié)膜乳頭增生，上下穹窿部結(jié)膜布滿濾泡。ocularsecretionandconjunctivalhyperemia.，papillaryhyperplasiainpalpebralconjunctiva,folliclesarefullofupperandlowerfornicalconjunctiva.2025/1/5第五章結(jié)膜病9后遺癥與并發(fā)癥

Sequelaandcomplication

1、瞼內(nèi)反及倒睫Entropionandtrichiasis2、上瞼下垂

Blepharoptosis3、瞼球粘連

Symblepharon4、實(shí)質(zhì)性角結(jié)膜干燥癥

Parenchymatousxerosisofconjunctiva5、慢性淚囊炎

Chronicdacryocysititis6、角膜混濁

Cornealopacity2025/1/5第五章結(jié)膜病10治療

Treatment包括局部用藥

systemicadministration全身用藥及手術(shù)治療

operativetreatment.2025/1/5第五章結(jié)膜病11第三節(jié)病毒性結(jié)膜炎

Viralconjunctivitis流行性角結(jié)膜炎

Epidemickeratocojunctivitis病因

Etiology病原體是腺病毒

Thepathogenisadenovirus.2025/1/5第五章結(jié)膜病12臨床表現(xiàn)

Clinicalfindings刺激癥狀顯著,自覺有異物感、刺癢、疼痛、畏光和流淚

appearstrongirritatingsymptoms,suchasforeignbodysensation,itching,pain,photophobiaandtearingetc.耳前淋巴結(jié)腫大并有壓痛preauricularlymphadenectasisandtenderness.同時(shí)出現(xiàn)角膜炎癥狀atthesametime,appearthesymptomofkeratitis2025/1/5第五章結(jié)膜病13治療

Treatment本病無特效藥物

thereisnospecificdrugforthedisorder藥物治療以局部治療為主

mainlydependsontopicaltreatment.2025/1/5第五章結(jié)膜病14第六章角膜病

Diseaseofthecornea

2025/1/5第五章結(jié)膜病15第一節(jié)角膜炎癥

Cornealinflammation

病因

Etiology外源性、內(nèi)源性、局部蔓延

exogenous.endogenous.localspeading診斷

Diagnosis癥狀實(shí)驗(yàn)室檢查

clinicalfindingslabexaminations2025/1/5第五章結(jié)膜病16治療原則

Thetreatmentprinciples

1.

去除病因

ridofpathogeniccauses2.

積極控制感染

controlinfection3.

增強(qiáng)全身及局部抵抗力

enhancesystemicandlocalresistance4.

促進(jìn)愈合

promotetoheal5.減少瘢痕形成

reducescarformation

2025/1/5第五章結(jié)膜病17第二節(jié)炎癥

Keratitis

2025/1/5第五章結(jié)膜病18細(xì)菌性角膜潰瘍

Bacterialcornealulcer

臨床表現(xiàn)Clinicalfindings治療Treatment2025/1/5第五章結(jié)膜病19單純皰疹病毒性角膜炎

Herpessimplekeratitis

臨床表現(xiàn)

Clinicalfindings治療

Treatment2025/1/5第五章結(jié)膜病20蠶蝕性角膜潰瘍

RodentulcerorMoorenulcer

臨床表現(xiàn)Clinicalfindings治療Treatment2025/1/5第五章結(jié)膜病21角膜軟化癥

Keratomalacia

臨床表現(xiàn)

Clinicalfindings治療

Treatment2025/1/5第五章結(jié)膜病22第七章鞏膜病

Scleraldisorder

2025/1/5第五章結(jié)膜病23第一節(jié)概述

Generaldescription

原因

Thecause1.與多種全身感染性疾病有關(guān)

Relatedtomanysystemicinfectiousdisorders2.

外傷或感染

Theinjuryorinfection3.自身免疫性疾病

Autoimmunedesmosis2025/1/5第五章結(jié)膜病24臨床特點(diǎn)

Clinicalcharacteristic治療

Treatment2025/1/5第五章結(jié)膜病25第二節(jié)表層鞏膜炎

Episcleritis

一．結(jié)節(jié)性表層鞏膜炎

Nodularepiscle