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1、第三章眼瞼病diseaseoftheeyelid7/15/20211第一節(jié)概述Generaldescription7/15/20212一、麥粒腫hordeolum病因Etiology多為金黃色葡萄球菌感染Mostarecausedbyinfectionofstaphylococcusaureus7/15/20213臨床表現(xiàn)Clinicalfinding患部有紅腫熱痛的典型急性炎癥表現(xiàn)Therearetypicalsymptomsofacuteinflammationsuchasred,swelling,feverandpaininsufferedarea.

2、內(nèi)麥粒腫internalherdeolum外麥粒腫externalherdeolumzhil;liao7/15/20214治療Treatment局部熱敷，切開排膿。localhotcompression,incisionanddrainage.7/15/20215二、霰粒腫Chalazion臨床表現(xiàn)Clinicalfindings:眼瞼皮下圓形質(zhì)塊、大小不一。Palpebralsubcutaneousroundmasswithdifferentsizes.7/15/20216治療Treatment熱敷、手術(shù)切除。hotcompression,operati

3、veexcision.7/15/20217三、瞼緣炎Blepharitis眥部瞼緣炎Angularblepharitis臨床表現(xiàn)Clinicalfindings瞼緣充血、主覺痛癢及燒灼感。Therearemarginalhyperemiaandpain,itching,burningsensationassymptoms.7/15/20218治療Treatment以生理鹽水或3%硼酸溶液每日清洗瞼緣Washthemarginwithphysiologicalsalineor3%borricacidsolutioneveryday.涂含有抗生素的油膏drop

4、inointmentcontainingantibiotic.7/15/20219第四章淚器病Diseaseofthelacrimalapparatus7/15/202110第一節(jié)淚囊炎Dacryocystitis一、慢性淚囊炎Chronicdacryocystitis臨床表現(xiàn)Clinicalfindings淚溢、結(jié)膜充血。擠壓淚囊區(qū)有粘液或粘液膿性分泌物自淚小點流出。Thereareepiphora,conjunctivalhyperemia.Presstheareaofthedacryocystitisthereismucousormucopurule

5、ntsecretionflowingoutfromthelacrimalpunctum.7/15/202111治療Treatment1藥物治療Pharmacotherapy抗生素點眼Dropantibioticeyedrops2手術(shù)治療Treatmentbysurgery淚囊鼻腔吻合術(shù)Dacryocystorhinostomy7/15/202112二、急性淚囊炎Acutedacryocystitis臨床表現(xiàn)Clinicalfindings淚囊區(qū)有急性炎癥的表現(xiàn)Thereismanifestationofacuteinflammationintheareao

6、fthedacryocyst7/15/202113治療Treatment局部熱敷、抗生素點眼或全身應(yīng)用localhotcompression,instillationofantibioticeyedrops,systemicuseofantibiotic7/15/202114