临床医学结膜角膜巩膜病课件

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1、第五章结膜病Disorderoftheconjunction6/27/20211第一节细菌性结膜炎Bacterialconjunctivitis6/27/20212一、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Prevention6/27/20213二、慢性卡他性结膜炎Chroniccatarrhalconjunctivitis病因Etiology临床表现Clinicalfinding

2、s诊断Diagnosis治疗Treatment6/27/20214三、淋菌性结膜炎Gonococcalconjunctivitis临床表现Clinicalfindings眼分泌物增多结膜充血ocularsecretionandconjunctivalhyperemia.6/27/20215治疗Treatment首先要查找致病原因，然后针对不同致病原因进行恰当治疗。firstofall,itisnecessarytolookforthecause,andthentogivepropermanagementaccording

3、todifferentcauses.6/27/20216第二节衣原体性结膜炎Chlamydialconjunctivitis6/27/20217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.，papillaryhyperplasiainpalpebralconjuncti

4、va,folliclesarefullofupperandlowerfornicalconjunctiva.6/27/20218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Cornealopacity6/27/202

5、19治疗Treatment包括局部用药systemicadministration全身用药及手术治疗operativetreatment.6/27/202110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.6/27/202111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appearstrongirritatingsy

6、mptoms,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,appearthesymptomofkeratitis6/27/202112治疗Treatment本病无特效药物thereisnospecificdrugforthedisorder药物治疗以局部治疗为主mainlydepends

7、ontopicaltreatment.6/27/202113第六章角膜病Diseaseofthecornea6/27/202114第一节角膜炎症Cornealinflammation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clinicalfindingslabexaminations6/27/202115治疗原则Thetreatmentprinciples1.去除病因ridofpathogeniccauses2.积

8、极控制感染controlinfection3.增强全身及局部抵抗力enhancesystemicandlocalresistance4.促进愈合promotetoheal5.减少瘢痕形成reducescarformation6/27/202116第二节炎症Keratitis6/27/202117细菌性角膜溃疡Bact