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1、中醫(yī)外科各論第4章·疥瘡概要皮膚病、性病·疥瘡教學(xué)要求了解疥瘡的臨床特點(diǎn)、診斷掌握疥瘡的治療、預(yù)防護(hù)理了解疥瘡的致病因素中醫(yī)外科診斷要點(diǎn)傳染性強(qiáng),冬春季節(jié)多見常在集體生活人群和家庭中流行皮損好發(fā)于皮膚褶皺處:指縫、手腕屈側(cè)、股內(nèi)側(cè)、少腹、腋窩等部位中醫(yī)外科皮疹以丘皰疹、隧道、結(jié)痂為主,典型者在指縫中可見到有疥蟲所掘的隧道男性患者病程在3周以上可在陰囊部位發(fā)生疥瘡結(jié)節(jié)夜間奇癢中醫(yī)外科疥瘡:指縫中醫(yī)外科疥瘡:腹部中醫(yī)外科疥瘡結(jié)節(jié)中醫(yī)外科鑒別診斷尋常癢疹:好發(fā)于四肢伸側(cè);丘疹較大;常并發(fā)腹股溝及淋巴結(jié)腫大皮膚瘙癢癥:皮損主要為抓痕、血痂和
2、脫屑丘疹性蕁麻疹:兒童多見,皮疹為紅斑、風(fēng)團(tuán),似梭形,頂部有小丘疹或小水泡虱?。褐饕憩F(xiàn)為軀干或會(huì)陰皮膚瘙癢或抓痕及血痂,指縫無皮疹;可找到虱子或蟲卵中醫(yī)外科預(yù)防與治療預(yù)防:早發(fā)現(xiàn),早治療,不和患者共用衣被辨證論治:濕熱毒聚惡證,治宜清熱化濕解毒,方以黃連解毒湯合五味消毒飲加減外治:10-20%硫磺軟膏外用,頸部以下至全身部位,每天2次,連續(xù)3-6天,第四天或第7天洗澡,換下的衣物,被褥煮沸消毒其它療法:疥瘡結(jié)節(jié)可外用皮質(zhì)激素制劑及冷凍療法中醫(yī)外科中醫(yī)外科病因病機(jī)總因中醫(yī)外科病因病機(jī)總因中醫(yī)外科病因病機(jī)總因中醫(yī)外科病因病機(jī)總因中醫(yī)外
3、科病因病機(jī)總因中醫(yī)外科病因病機(jī)總因中醫(yī)外科病因病機(jī)總因中醫(yī)外科病因病機(jī)總因中醫(yī)外科病因病機(jī)總因中醫(yī)外科病因病機(jī)總因中醫(yī)外科教學(xué)要求掌中醫(yī)外科謝謝收看《跨文化交際》(專升本)輔導(dǎo)課件主講:魏曉紅I.Choosetheonlycorrectanswerfromeachofthefollowing(請(qǐng)從下列題中選出唯一正確的答案)1.Theskillofiron-workingwasintroducedintoBritainby______.A.theCeltsB.theRomansC.theNormansD.theGermans2.
4、ThesongthatismostprobablysungbyWelshsupportersatarugbymatchheldinWalesis________,andithasalmostbecomeanationalanthemforWales.A.GodSaveOurQueenB.AuldLangSyneC.LandofMyFathersD.MyRedRedRose3.ChristianitywasintroducedintoBritainby________.A.theCeltsB.theVirkingDanesC.theG
5、ermansD.theRomans4.TheCelticleftlittlethatcouldlaterbeincorporatedintoEnglishbecause________.A.theirlanguagehaddiedoutB.theyhadnolanguageatallC.theyhadnowrittenlanguageD.theirlanguagewasreplacedbyLatin5.ThemostimportantMiddleEnglishpoetwas_____.A.theVenerableBedeB.Geof
6、freyChaucerC.JohnMiltonD.WilliamShakespeare6.TheChurchofEnglandis“established”in_____.A.thewholeofBritainB.EnglandandScotlandC.EnglandandWalesD.Englandonly7.ThePuritanswereoriginallyanextreme_____sect.A.ProtestantB.CatholicC.JewishD.Christianscientist8.Whichofthefollow
7、ingdoesnotbelongtoChristianbelief?A.theVirginBirthB.theResurrectionC.theHolyCommunionD.theRedCross9.Englishsenseofhumorischaracterizedby____.self-praiseB.self-confidenceC.self-deprecationD.self-exaggeration10.HumorishighlyprizedinEngland,however,theEnglishdonotlaughat_
8、_______.A.one’sownfaultsB.one’sownidealsC.one’sownfailuresD.atragedy.11.Themostobviousdifferencebetweentheworkingclas