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1、結(jié)膜、角膜、鞏膜病PPT課件第一節(jié)細(xì)菌性結(jié)膜炎Bacterialconjunctivitis9/16/20212一、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Prevention9/16/20213第二節(jié)衣原體性結(jié)膜炎Chlamydialconjunctivitis9/16/20217沙眼Crachoma病因Etiology沙眼衣原體感染infectionofChlamydiatrachomatis臨
2、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.9/16/20218后遺癥與并發(fā)癥Sequelaandcomplication1、瞼內(nèi)反及倒睫Entropionandtrichiasis2、上瞼下垂Blepharopt
3、osis3、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Cornealopacity9/16/20219治療Treatment包括局部用藥systemicadministration全身用藥及手術(shù)治療operativetreatment.9/16/202110第三節(jié)病毒性結(jié)膜炎Viralconjunctivitis流行性角結(jié)膜炎Epidemickeratocojunctivitis病因Eti
4、ology病原體是腺病毒Thepathogenisadenovirus.9/16/202111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,appeart
5、hesymptomofkeratitis9/16/202112治療Treatment本病無特效藥物thereisnospecificdrugforthedisorder藥物治療以局部治療為主mainlydependsontopicaltreatment.9/16/202113第六章角膜病Diseaseofthecornea9/16/202114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
6、檢查clinicalfindingslabexaminations9/16/202115治療原則Thetreatmentprinciples1.???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reducescarformation9/16/202116第二節(jié)炎癥Keratitis9/16/202117細(xì)菌性角膜潰瘍Bact
7、erialcornealulcer臨床表現(xiàn)Clinicalfindings治療Treatment9/16/202118單純皰疹病毒性角膜炎Herpessimplekeratitis臨床表現(xiàn)Clinicalfindings治療Treatment9/16/202119蠶蝕性角膜潰瘍RodentulcerorMoorenulcer臨床表現(xiàn)Clinicalfindings治療Treatment9/16/202120角膜軟化癥Keratomalacia臨床表現(xiàn)Clinicalfindings治療Treatment9/16/202121第七章鞏膜病
8、Scleraldisorder9/16/202122第一節(jié)概述Generaldescription原因Thecause1.與多種全身感染性疾病有關(guān)Relatedtomanysystemicinfectiou