结膜、角膜、巩膜病.ppt
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参见附件(74KB)。
第一节 细菌性结膜炎
Bacterial conjunctivitis
一、急性卡他性结膜炎
Acute catarrhal conjunctivitis
* 病因 Etiology
* 临床表现 Clinical findings
* 诊断 Diagnosis
* 治疗 Treatment
* 预防 Prevention
二、慢性卡他性结膜炎
Chronic catarrhal conjunctivitis
* 病因 Etiology
* 临床表现 Clinical findings
* 诊断 Diagnosis
* 治疗 Treatment
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.
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。
* first of all,it is necessary to look for the cause,and then to give proper management according to different causes.
第二节 衣原体性结膜炎
Chlamydial conjunctivitis
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.
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
* 5、慢性泪囊炎 Chronic dacryocysititis
* 6、角膜混浊 Corneal opacity
治疗Treatment
* 包括局部用药
systemic administration
* 全身用药及手术治疗
operative treatment.
第三节 病毒性结膜炎
Viral conjunctivitis
* 流行性角结膜炎
Epidemic keratocojunctivitis
* 病因Etiology
* 病原体是腺病毒
The pathogen is adenovirus.
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
* at the same time,appear the symptom of keratitis
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.
第六章 角膜病
Disease of the cornea
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
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
*enhance systemic and local resistance
* 4. 促进愈合promote to heal
5. 减少瘢痕形成reduce scar formation
第二节 炎症 Keratitis
细菌性角膜溃疡
Bacterial corneal ulcer
* 临床表现 Clinical findings
* 治疗 Treatment
单纯疱疹病毒性角膜炎
Herpes simple keratitis
* 临床表现
Clinical findings
* 治疗 Treatment
蚕蚀性角膜溃疡
Rodent ulcer or Mooren ulcer
* 临床表现Clinical findings
* 治疗Treatment
角膜软化症 Keratomalacia
* 临床表现Clinical findings
* 治疗Treatment
第七章 巩膜病
Scleral disorder
第一节 概述 General description
* 原因The cause
* 1.与多种全身感染性疾病有关
Related to many systemic infectious disorders
* 2. 外伤或感染The injury or infection
* 3.自身免疫性疾病
Autoimmune desmosis
* 临床特点 Clinical characteristic
* 治疗 Treatment
第二节 表层巩膜炎 Episcleritis
* 一.结节性表层巩膜炎
*Nodular episcleritis
* 二.周期性表层巩膜炎
*Periodic episcleritis
第三节 巩膜炎 Scleritis
* 一.前巩膜炎 Anterior scleritis
* 二.后巩膜炎 Posterior sclerits
* 三.坏死性巩膜炎 Necrotizing sclertis
第一节 细菌性结膜炎
Bacterial conjunctivitis
一、急性卡他性结膜炎
Acute catarrhal conjunctivitis
* 病因 Etiology
* 临床表现 Clinical findings
* 诊断 Diagnosis
* 治疗 Treatment
* 预防 Prevention
二、慢性卡他性结膜炎
Chronic catarrhal conjunctivitis
* 病因 Etiology
* 临床表现 Clinical findings
* 诊断 Diagnosis
* 治疗 Treatment
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.
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。
* first of all,it is necessary to look for the cause,and then to give proper management according to different causes.
第二节 衣原体性结膜炎
Chlamydial conjunctivitis
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.
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
* 5、慢性泪囊炎 Chronic dacryocysititis
* 6、角膜混浊 Corneal opacity
治疗Treatment
* 包括局部用药
systemic administration
* 全身用药及手术治疗
operative treatment.
第三节 病毒性结膜炎
Viral conjunctivitis
* 流行性角结膜炎
Epidemic keratocojunctivitis
* 病因Etiology
* 病原体是腺病毒
The pathogen is adenovirus.
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
* at the same time,appear the symptom of keratitis
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.
第六章 角膜病
Disease of the cornea
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
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
*enhance systemic and local resistance
* 4. 促进愈合promote to heal
5. 减少瘢痕形成reduce scar formation
第二节 炎症 Keratitis
细菌性角膜溃疡
Bacterial corneal ulcer
* 临床表现 Clinical findings
* 治疗 Treatment
单纯疱疹病毒性角膜炎
Herpes simple keratitis
* 临床表现
Clinical findings
* 治疗 Treatment
蚕蚀性角膜溃疡
Rodent ulcer or Mooren ulcer
* 临床表现Clinical findings
* 治疗Treatment
角膜软化症 Keratomalacia
* 临床表现Clinical findings
* 治疗Treatment
第七章 巩膜病
Scleral disorder
第一节 概述 General description
* 原因The cause
* 1.与多种全身感染性疾病有关
Related to many systemic infectious disorders
* 2. 外伤或感染The injury or infection
* 3.自身免疫性疾病
Autoimmune desmosis
* 临床特点 Clinical characteristic
* 治疗 Treatment
第二节 表层巩膜炎 Episcleritis
* 一.结节性表层巩膜炎
*Nodular episcleritis
* 二.周期性表层巩膜炎
*Periodic episcleritis
第三节 巩膜炎 Scleritis
* 一.前巩膜炎 Anterior scleritis
* 二.后巩膜炎 Posterior sclerits
* 三.坏死性巩膜炎 Necrotizing sclertis
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