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第五章 结膜病
Disorder of the conjunction
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第一节 细菌性结膜炎
Bacterial conjunctivitis
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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
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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
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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.
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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.
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第二节 衣原体性结膜炎
Chlamydial conjunctivitis
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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.
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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
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治疗 Treatment
包括局部用药
systemic administration
全身用药及手术治疗
operative treatment.
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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.
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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
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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.
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第六章 角膜病
Disease of the cornea
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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
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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
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第二节 炎症 Keratitis
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细菌性角膜溃疡Bacterial corneal ulcer
临床表现 Clinical findings
治疗 Treatment
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单纯疱疹病毒性角膜炎 Herpes simple keratitis
临床表现
Clinical findings
治疗 Treatment
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蚕蚀性角膜溃疡Rodent ulcer or Mooren ulcer
临床表现 Clinical findings
治疗 Treatment
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角膜软化症 Keratomalacia
临床表现 Clinical findings
治疗 Treatment
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第七章 巩膜病
Scleral disorder
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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
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临床特点 Clinical characteristic
治疗 Treatment
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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
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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