第五章结膜病 课件

单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二层,第三层,第四层,第五层,*,*,*,第五章,结膜病,Disorder of the conjunction,8/23/2024,1,第五章 结膜病 Disorder of the,第一节 细菌性结膜炎,Bacterial conjunctivitis,8/23/2024,2,第一节 细菌性结膜炎 Bacterial conjunc,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,8/23/2024,3,一、急性卡他性结膜炎 Acute catarrhal co,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,8/23/2024,4,二、慢性卡他性结膜炎 Chronic catarrhal,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.,8/23/2024,5,三、淋菌性结膜炎Gonococcalconjunctivit,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.,8/23/2024,6,治疗 Treatment首先要查找致病原因，然后针对不同致,第二节 衣原体性结膜炎,Chlamydial conjunctivitis,8/23/2024,7,第二节 衣原体性结膜炎 Chlamydial conju,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.,8/23/2024,8,沙眼 Crachoma病因 Etiology8/31/2,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,8/23/2024,9,后遗症与并发症Sequela and complicati,治疗,Treatment,包括局部用药,systemic administration,全身用药及手术治疗,operative treatment.,8/23/2024,10,治疗 Treatment包括局部用药8/31/202310,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.,8/23/2024,11,第三节 病毒性结膜炎 Viral conjunctivit,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,8/23/2024,12,临床表现 Clinical findings刺激症状显著,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.,8/23/2024,13,治疗 Treatment本病无特效药物8/31/202313,第六章 角膜病,Disease of the cornea,8/23/2024,14,第六章 角膜病 Disease of the corne,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,8/23/2024,15,第一节 角膜炎症 Corneal inflammation,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,8/23/2024,16,治疗原则 The treatment principles,第二节 炎症,Keratitis,8/23/2024,17,第二节 炎症 Keratitis8/31/202317,细菌性角膜溃疡,Bacterial corneal ulcer,临床表现,Clinical findings,治疗,Treatment,8/23/2024,18,细菌性角膜溃疡 Bacterial corneal ulc,单纯疱疹病毒性角膜炎,Herpes simple keratitis,临床表现,Clinical findings,治疗,Treatment,8/23/2024,19,单纯疱疹病毒性角膜炎 Herpes simple kera,蚕蚀性角膜溃疡,Rodent ulcer or Mooren ulcer,临床表现,Clinical findings,治疗,Treatment,8/23/2024,20,蚕蚀性角膜溃疡 Rodent ulcer or Moore,角膜软化症,Keratomalacia,临床表现,Clinical findings,治疗,Treatment,8/23/2024,21,角膜软化症 Keratomalacia临床表现 Cl,第七章 巩膜病,Scleral disorder,8/23/2024,22,第七章 巩膜病 Scleral disorder8/3,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,8/23/2024,23,第一节 概述 General description原因,临床特点,Clinical characteristic,治疗,Treatment,8/23/2024,24,临床特点 Clinical characterist,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,8/23/2024,25,第二节 表层巩膜炎 Episcleritis一结节性表层,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,8/23/2024,26,第三节 巩膜炎 Scleritis一前巩膜炎 Anter,