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24/12/281第三章眼睑病diseaseoftheeyelid24/12/282第一节概述Generaldescription24/12/283一、麦粒肿hordeolum病因Etiology多为金黄色葡萄球菌感染Mostarecausedbyinfectionofstaphylococcusaureus24/12/284临床表现Clinicalfinding患部有红肿热痛的典型急性炎症表现Therearetypicalsymptomsofacuteinflammationsuchasred,swelling,feverandpaininsufferedarea.内麦粒肿internalherdeolum外麦粒肿externalherdeolumzhil;liao24/12/285治疗Treatment局部热敷，切开排脓。localhotcompression,incisionanddrainage.24/12/286二、霰粒肿Chalazion临床表现Clinicalfindings:眼睑皮下圆形质块、大小不一。Palpebralsubcutaneousroundmasswithdifferentsizes.24/12/287治疗Treatment热敷、手术切除。hotcompression,operativeexcision.24/12/288三、睑缘炎Blepharitis眦部睑缘炎Angularblepharitis临床表现Clinicalfindings睑缘充血、主觉痛痒及烧灼感。Therearemarginalhyperemiaandpain,itching,burningsensationassymptoms.24/12/289治疗Treatment以生理盐水或3%硼酸溶液每日清洗睑缘Washthemarginwithphysiologicalsalineor3%borricacidsolutioneveryday.涂含有抗生素的油膏dropinointmentcontainingantibiotic.24/12/2810第四章泪器病Diseaseofthelacrimalapparatus24/12/2811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。挤压泪囊区有粘液或粘液脓性分泌物自泪小点流出。Thereareepiphora,conjunctivalhyperemia.Presstheareaofthedacryocystitisthereismucousormucopurulentsecretionflowingoutfromthelacrimalpunctum.24/12/2812治疗Treatment1药物治疗Pharmacotherapy抗生素点眼Dropantibioticeyedrops2手术治疗Treatmentbysurgery泪囊鼻腔吻合术Dacryocystorhinostomy24/12/2813二、急性泪囊炎Acutedacryocystitis临床表现Clinicalfindings泪囊区有急性炎症的表现Thereismanifestationofacuteinflammationintheareaofthedacryocyst24/12/2814治疗Treatment局部热敷、抗生素点眼或全身应用localhotcompression,instillationofantibioticeyedrops,systemicuseofantibiotic