2022年医学专题-第四篇-多为金黄色葡萄球菌感染

第三章眼睑(yǎnjiǎn)病diseaseoftheeyelid11/14/20221第一页，共十五页。第一节概述(ɡàishù)

Generaldescription11/14/20222第二页，共十五页。一、麦粒肿

hordeolum

病因(bìngyīn)Etiology多为金黄色葡萄球菌感染

Mostarecausedbyinfectionofstaphylococcusaureus11/14/20223第三页，共十五页。

临床表现

Clinicalfinding

患部有红肿(hónɡzhǒnɡ)热痛的典型急性炎症表现Therearetypicalsymptomsofacuteinflammationsuchasred,swelling,feverandpaininsufferedarea.内麦粒肿internalherdeolum外麦粒肿externalherdeolumzhil;liao11/14/20224第四页，共十五页。治疗(zhìliáo)

Treatment局部(júbù)热敷，切开排脓。localhotcompression,incisionanddrainage.11/14/20225第五页，共十五页。二、霰粒肿

Chalazion

临床表现Clinicalfindings:眼睑(yǎnjiǎn)皮下圆形质块、大小不一。Palpebralsubcutaneousroundmasswithdifferentsizes.11/14/20226第六页，共十五页。治疗(zhìliáo)

Treatment热敷、手术(shǒushù)切除。hotcompression,operativeexcision.11/14/20227第七页，共十五页。三、睑缘炎

Blepharitis眦部睑缘炎Angularblepharitis

临床表现Clinicalfindings

睑缘充血(chōngxuè)、主觉痛痒及烧灼感。Therearemarginalhyperemiaandpain,itching,burningsensationassymptoms.

11/14/20228第八页，共十五页。治疗(zhìliáo)

Treatment以生理盐水或3%硼酸溶液每日清洗睑缘

Washthemarginwithphysiologicalsalineor3%borricacidsolutioneveryday.涂含有(hányǒu)抗生素的油膏

dropinointmentcontainingantibiotic.11/14/20229第九页，共十五页。第四章泪器病

Diseaseofthelacrimalapparatus

11/14/202210第十页，共十五页。第一节泪囊炎

Dacryocystitis一、慢性泪囊炎Chronicdacryocystitis临床表现Clinicalfindings泪溢、结膜充血。挤压(jǐyā)泪囊区有粘液或粘液脓性分泌物自泪小点流出。Thereareepiphora,conjunctivalhyperemia.Presstheareaofthedacryocystitisthereismucousormucopurulentsecretionflowingoutfromthelacrimalpunctum.11/14/202211第十一页，共十五页。治疗(zhìliáo)

Treatment1药物治疗(zhìliáo)Pharmacotherapy抗生素点眼Dropantibioticeyedrops

2手术治疗Treatmentbysurgery泪囊鼻腔吻合术Dacryocystorhinostomy11/14/202212第十二页，共十五页。二、急性(jíxìng)泪囊炎

Acutedacryocystitis临床表现Clinicalfindings泪囊区有急性炎症(yánzhèng)的表现Thereismanifestationofacuteinflammationintheareaofthedacryocyst11/14/202213第十三页，共十五页。治疗(zhìliáo)

Treatment局部热敷、抗生素点眼或全身(quánshēn)应用localhotcompression,instillationofantibioticeyedrops,systemicuseofantibiotic11/14/202214第十四页，共十五页。内容(nèiróng)总结第三章眼睑病diseaseoftheeyelid。3/1/2022。治疗(zhìliáo)Treatment。治疗(zhìliáo)Treatment。hotc