眼睑泪器眼表病精品文稿.ppt

眼睑泪器眼表病2022/10/231第1页，本讲稿共14页第一节 概述 General description第2页，本讲稿共14页一、麦粒肿 hordeolumn 病因 Etiologyn 多为金黄色葡萄球菌感染 Most are caused by infection of staphylococcus aureus第3页，本讲稿共14页 临床表现 Clinical findingn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.n内麦粒肿 internal herdeolum n外麦粒肿 external herdeolumzhil;liao第4页，本讲稿共14页治疗 Treatmentn局部热敷，切开排脓。local hot compression,incision and drainage.第5页，本讲稿共14页二、霰粒肿 Chalazionn临床表现 Clinical findings:n眼睑皮下圆形质块、大小不一。nPalpebral subcutaneous round mass with different sizes.第6页，本讲稿共14页治疗 Treatment n热敷、手术切除。nhot compression,operative excision.第7页，本讲稿共14页三、睑缘炎 Blepharitisn 眦部睑缘炎 Angular blepharitisn 临床表现 Clinical findingsn 睑缘充血、主觉痛痒及烧灼感。There are marginal hyperemia and pain,itching,burning sensation as symptoms.第8页，本讲稿共14页治疗 Treatmentn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.n涂含有抗生素的油膏 drop in ointment containing antibiotic.第9页，本讲稿共14页第四章 泪器病 Disease of the lacrimal apparatus第10页，本讲稿共14页第一节 泪囊炎 Dacryocystitisn一、慢性泪囊炎Chronic dacryocystitisn临床表现 Clinical findingsn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.第11页，本讲稿共14页治疗 Treatmentn1 药物治疗 Pharmacotherapy 抗生素点眼 Drop antibiotic eyedropsn 2 手术治疗 Treatment by surgery 泪囊鼻腔吻合术 Dacryocystorhinostomy第12页，本讲稿共14页二、急性泪囊炎Acute dacryocystitisn临床表现 Clinical findings n泪囊区有急性炎症的表现 There is manifestation of acute inflammation in the area of the dacryocyst第13页，本讲稿共14页治疗 Treatmentn局部热敷、抗生素点眼或全身应用nlocal hot compression,instillation of antibiotic eyedrops,systemic use of antibiotic第14页，本讲稿共14页