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1、第五章 结膜病Disorder of the conjunctionDate1第一节 细菌性结膜炎Bacterial conjunctivitisDate2一、急性卡他性结膜炎Acute catarrhal conjunctivitis n病因 Etiologyn临床表现 Clinical findingsn诊断 Diagnosisn治疗 Treatmentn预防 Prevention Date3二、慢性卡他性结膜炎 Chronic catarrhal conjunctivitisn病因 Etiologyn临床表现 Clinical findingsn诊断 Diagnosisn治疗 Treat
2、ment Date4三、淋菌性结膜炎Gonococcalconjunctivitisn临床表现 Clinical findings眼分泌物增多 结膜充血ocular secretion and conjunctival hyperemia.Date5治疗 Treatmentn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。nfirst of all,it is necessary to look for the cause,and then to give proper management according to different causes.Date6第二节 衣原体性结膜炎
3、Chlamydial conjunctivitis *7沙眼 Crachoman病因 Etiologyn沙眼衣原体感染 infection of Chlamydia trachomatisn临床表现 Clinical findings n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。nocular secretion and conjunctival hyperemia.，papillary hyperplasia in palpebral conjunctiva,follicles are full of upper and lower fornical conjunct
4、iva.Date8后遗症与并发症Sequela and complicationn1、睑内反及倒睫 Entropion and trichiasisn2、上睑下垂 Blepharoptosisn3、睑球粘连 Symblepharonn4、实质性角结膜干燥症 Parenchymatous xerosis of conjunctivan5、慢性泪囊炎 Chronic dacryocysititisn6、角膜混浊 Corneal opacityDate9治疗 Treatmentn包括局部用药systemic administration n全身用药及手术治疗operative treatment.D
5、ate10第三节 病毒性结膜炎 Viral conjunctivitisn流行性角结膜炎 Epidemic keratocojunctivitisn病因 Etiologyn病原体是腺病毒 The pathogen is adenovirus.Date11临床表现 Clinical findingsn刺激症状显著,自觉有异物感、刺痒、疼痛、 畏光和流泪 nappear strong irritating symptoms,such as foreign body sensation,itching,pain,photophobia and tearing etc.n耳前淋巴结肿大并有压痛npre
6、auricular lymphadenectasis and tenderness.n同时出现角膜炎症状 nat the same time,appear the symptom of keratitisDate12治疗 Treatmentn本病无特效药物there is no specific drug for the disordern药物治疗以局部治疗为主 mainly depends on topical treatment.Date13第六章 角膜病Disease of the cornea Date14第一节 角膜炎症Corneal inflammationn病因 Etiology
7、 n外源性、内源性、局部蔓延exogenous.endogenous.local speadingn诊断 Diagnosisn症状 实验室检查clinical findings lab examinationsDate15治疗原则 The treatment principles n1. 去除病因 rid of pathogenic causesn2. 积极控制感染 control infectionn3. 增强全身及局部抵抗力 n enhance systemic and local resistancen4. 促进愈合 promote to heal5. 减少瘢痕形成 reduce sca
8、r formation Date16第二节 炎症 KeratitisDate17细菌性角膜溃疡Bacterial corneal ulcern临床表现 Clinical findingsn治疗 Treatment Date18单纯疱疹病毒性角膜炎 Herpes simple keratitisn临床表现 Clinical findingsn治疗 Treatment Date19蚕蚀性角膜溃疡 Rodent ulcer or Mooren ulcern临床表现Clinical findingsn治疗Treatment Date20角膜软化症 Keratomalacian临床表现 Clinical
9、 findingsn治疗 Treatment Date21第七章 巩膜病 Scleral disorderDate22第一节 概述 General descriptionn原因 The causen1. 与多种全身感染性疾病有关 Related to many systemic infectious disordersn2. 外伤或感染 The injury or infectionn3. 自身免疫性疾病 Autoimmune desmosisDate23n临床特点 Clinical characteristicn治疗 TreatmentDate24第二节 表层巩膜炎 Episcleritisn一结节性表层巩膜炎 n Nodular episcleritisn二周期性表层巩膜炎 n Periodic episcleritis Date25第三节 巩膜炎 Scleritisn一前巩膜炎 Anterior scleritisn二后巩膜炎 Posterior scleritsn三坏死性巩膜炎 Necrotizing sclertisDate26
