[医学保健]结膜病..pptVIP

第一节 结膜炎总论 睫状充血与结膜充血的鉴别 球结膜充血 睫状充血 1）起源：　 结膜血管 角膜缘血管网 2）部位： 越近穹窿越明显　 近角膜缘越明显 3）颜色： 鲜红色　　　　　 深红色 4）移动性：　随结膜移动　 不随结膜移动 5）1‰肾上腺素滴眼：消失　 不消失 6）病种：　　 结膜病　　角膜及虹膜睫状体病 第二节 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. 第三节 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. 第四节 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