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【医学ppt课件】 第一节 瞳神紧小

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医学ppt课件 第一节瞳神紧小 第一节第一节瞳神紧小
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Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 第一节 瞳神紧小 (虹膜睫状体炎) 一、病名含义 1、瞳神紧小:黄仁受邪,以瞳神持续缩小, 展缩失灵为主要症状的眼病 。 (相当于急性前葡萄膜炎) 2、瞳神干缺:瞳神紧小失治、误治,致瞳神 与其后晶珠粘着,边缘参差不 齐,失去正圆为特征的眼病。 (相当于慢性前葡萄膜炎) Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 二、病因病机 肝经风热 肝胆蕴热 火邪上攻 肝胆火炽 外感风湿 三邪相搏 上蒸清窍 内蕴热邪 灼伤黄仁 劳伤肝肾 瞳神紧小 肝肾阴亏 虚火上炎 久病伤阴 瞳神干缺 邪毒内侵 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 三、临床表现 1、急性者 自觉症状:红痛、视力下降、或见眼前黑影飞动。 检查:1)视力下降 2)抱轮红赤、白睛混赤 3)黑睛后沉着物(尘状、羊脂状) 4)神水混浊 5)黄仁纹理不清、色暗 6)瞳神紧小、干缺,或见黄液上冲 2、慢性者 病情缓慢,症状较轻,反复发作。可能神膏混浊 较为明显 瞳孔膜闭 神水流出受阻 眼压 瞳孔闭锁 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 3.实验室及特殊检查 四、诊断依据 1.抱轮红赤或白睛混赤。 2.黑睛后壁沉着物(KP阳性)。 3.神水混浊(AR阳性)。 4.瞳神紧小或瞳神干缺。 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 四、辨证论治 1、肝经风热 症状:起病急 + 临床表现 +全身表现 治法:祛风清热 方药:新制柴连汤(石决明散+蒲公英) 2、肝胆火炽 症状:起病急症状重+临床表现 +全身表现 治法:清泻肝胆 方药:龙胆泻肝汤 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 3、风湿夹热 症状:起病缓 病程长 易反复 + 临床表现 + 全身表现 治法:祛风除湿清热 方药:抑阳酒连散(三仁汤) 4、虚火上炎 症状:病久反复发作+临床表现轻+全身症状 治法:滋阴降火 方药:知柏地黄丸 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 2、外治 1)散瞳 1%阿托品眼液 散瞳合剂 2)激素眼液 3)抗生素眼液(非必要) 3、局部热敷、针刺止痛 4、激素的全身使用或结膜下注射 5、非甾体类消炎 6、治疗原发病 五、预后 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 2. 手术治疗: l 1)小梁切除术 : 房角粘连>180°, l匹罗卡品不能控制眼压(急性发作期慢性期) l 2)周边虹膜切除术 : 房角粘连<1/3 l(临床前期,先兆期)。 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. (二)中医治疗 1、辨证论治 1)风火攻目 症状:发病急剧 症状极重 眼胀如石 治法:清热泻火、平肝熄风 方药:绿风羚羊饮(龙胆泻肝汤) 2)气火上逆证 症状:眼部表现+肝气郁结表现 治法:清热疏肝解郁 方药:丹栀逍遥散 Through this publicity campaign, further improve the sense of business integrity of tourism enterprises to help tourism consumers and operators to safeguard the legitimate rights and interests, to ensure that our City's tourism sustainable, healthy and coordinated Development. 3) 痰火郁结证 症状:眼部表现+痰的表现 治法:降火逐痰。 方药:将军定痛丸 2、针灸治疗 六、预防与调护
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