结膜、角膜、巩膜病.ppt

enhance systemic and local resistance 4. 促进愈合 promote to heal
5. 减少瘢痕形成 reduce scar formation
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第二节 炎症 Keratitis
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细菌性角膜溃疡 Bacterial corneal ulcer
诊断
Diagnosis
治疗
Treatment
预防
Prevention
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二、慢性卡他性结膜炎 Chronic catarrhal conjunctivitis
病因 临床表现 诊断 治疗
Etiology Clinical findings Diagnosis Treatment
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沙眼 Crachoma
病因 Etiology 沙眼衣原体感染 infection of Chlamydia trachomatis 临床表现 Clinical findings
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。
ocular secretion and conjunctival hyperemia.，papillary hyperplasia in palpebral conjunctiva,follicles are full of upper and lower fornical conjunctiva.
临床表现 Clinical findings 治疗 Treatment
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单纯疱疹病毒性角膜炎 Herpes simple keratitis
临床表现 Clinical findings
治疗 Treatment
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蚕蚀性角膜溃疡 Rodent ulcer or Mooren ulcer
第五章 结膜病 Disorder of the conjunction
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第一节 细菌性结膜炎 Bacterial conjunctivitis
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一、急性卡他性结膜炎 Acute catarrhal conjunctivitis
病因 Etiology
临床表现 Clinical findings
刺激症状显著,自觉有异物感、刺痒、疼痛、 畏光和流泪
appear strong irritating symptoms,such as foreign body sensation,itching,pain,photophobia and tearing etc.
耳前淋巴结肿大并有压痛
preauricular lymphadenectasis and tenderness. 同时出现角膜炎症状
临床表现Clinical findings 治疗Treatment
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角膜软化症 Keratomalacia
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第六章 角膜病 Disease of the cornea
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第一节 角膜炎症 Corneal inflammation
病因 Etiology 外源性、内源性、局部蔓延
exogenous.endogenous.local speading 诊断 Diagnosis 症状 实验室检查
clinical findings lab examinations
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治疗原则 The treatment principles
1. 去除病因 rid of pathogenic causes 2. 积极控制感染 control infection 3. 增强全身及局部抵抗力
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三、淋菌性结膜炎 Gonococcalconjunctivitis
临床表现 Clinical findings 眼分泌物增多 结膜充血 ocular secretion and conjunctival hyperemia.
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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。
at the same time,appear the symptom of keratitis
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治疗 Treatment
本病无特效药物 there is no specific drug for the disorder
药物治疗以局部治疗为主 mainly depends on topical treatment.
first of all,it is necessary to look for the cause,and then to give proper management according to different causes.
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第二节 衣原体性结膜炎 Chlamydial conjunctivitis
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后遗症与并发症 Sequela and complication
1、睑内反及倒睫 Entropion and trichiasis
2、上睑下垂
Blepharoptosis
3、睑球粘连
Symblepharon
4、实质性角结膜干燥症
Parenchymatous xerosis of conjunctiva
第三节 病毒性结膜炎 Viral coEpidemic keratocojunctivitis 病因 Etiology 病原体是腺病毒
The pathogen is adenovirus.
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临床表现 Clinical findings
5、慢性泪囊炎 Chronic dacryocysititis
6、角膜混浊
Corneal opacity
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治疗 Treatment
包括局部用药 systemic administration
全身用药及手术治疗 operative treatment.
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