第三章眼睑病-公开课件（讲义）.pptVIP

* * 第三章 眼睑病 disease of the eyelid * * 第一节 概述 General description * * 一、麦粒肿 hordeolum 病因 Etiology 多为金黄色葡萄球菌感染 Most are caused by infection of staphylococcus aureus * * 临床表现 Clinical finding 患部有红肿热痛的典型急性炎症表现 There are typical symptoms of acute inflammation such as red,swelling,fever and pain in suffered area. 内麦粒肿 internal herdeolum 外麦粒肿 external herdeolumzhil;liao * * 治疗 Treatment 局部热敷，切开排脓。 local hot compression,incision and drainage. * * 二、霰粒肿 Chalazion 临床表现 Clinical findings: 眼睑皮下圆形质块、大小不一。 Palpebral subcutaneous round mass with different sizes. * * 治疗 Treatment 热敷、手术切除。 hot compression,operative excision. * * 三、睑缘炎 Blepharitis 眦部睑缘炎 Angular blepharitis 临床表现 Clinical findings 睑缘充血、主觉痛痒及烧灼感。 There are marginal hyperemia and pain,itching,burning sensation as symptoms. * * 治疗 Treatment 以生理盐水或3%硼酸溶液每日清洗睑缘 Wash the margin with physiological saline or 3% borric acid solution everyday. 涂含有抗生素的油膏 drop in ointment containing antibiotic. * * 第四章 泪器病 Disease of the lacrimal apparatus * * 第一节 泪囊炎 Dacryocystitis 一、慢性泪囊炎Chronic dacryocystitis 临床表现 Clinical findings 泪溢、结膜充血。挤压泪囊区有粘液或粘液脓性分泌物自泪小点流出。 There are epiphora,conjunctival hyperemia.Press the area of the dacryocystitis there is mucous or mucopurulent secretion flowing out from the lacrimal punctum. * * 治疗 Treatment 1 药物治疗 Pharmacotherapy 抗生素点眼 Drop antibiotic eyedrops 2 手术治疗 Treatment by surgery 泪囊鼻腔吻合术 Dacryocystorhinostomy * * 二、急性泪囊炎Acute dacryocystitis 临床表现 Clinical findings 泪囊区有急性炎症的表现 There is manifestation of acute inflammation in the area of the dacryocyst * * 治疗 Treatment 局部热敷、抗生素点眼或全身应用 local hot compression,instillation of antibiotic eyedrops,systemic use of antibiotic 谢谢使用！