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Old 05-10-2011, 11:05 PM   #1
avrod8348
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Default 防春季卡他性结角膜炎

春季卡他性结膜炎,又叫做春季卡他性结角膜炎,是一种眼科常见病。其特点是春夏季发病,秋冬季症状减轻或消 失,季节性强,也有病人常年有症状,但是在春夏季症状重,其他季节症状减轻。
  一般认为,春季卡他性结膜炎与过敏因素有关。许多患者对花粉,尤其是禾本植物的花粉有变态反应。患者本 人及家族中常有同样或其他变态反应性疾病患者。这种病多见于儿童及青少年,男性患者多,双眼发病。病人上眼 皮的内层有一层粉红色、形状不规则的扁平突起,外观像铺路石一样。
有的病人在黑眼球和白眼球的交界处呈凝胶样肥厚。症状特点是奇痒眼睛充血、流泪,水宜生,并有黏液性乳白色分泌物。本病随着季节变化症状可自行缓解或消失,一般反复发作数年后,症状有减轻或消退 趋势。
  由于难以确定过敏原,所以目前对这种病的治疗仅仅局限于缓解症状,减轻痛苦,而不能根治。常用的药物有 0.5%醋酸可的松眼液、0.5%硫酸锌眼液、0.1%肾上腺素等,其中皮质类固醇类药物效果较好。
此外,还可以用β射线照射、冷冻、3%硼酸水冲洗等。 近几年,一些医院使用2%~4%色甘酸钠眼液治疗春季卡他性结膜炎,对改善瘙痒、怕光症状有明显疗效。还有 的使用2%色羟丙酸眼液,这种药对轻型的春季卡他性结膜炎可缓解症状,但是,症状重者需加0.1%肾上腺素 和皮质类固醇类药物。症状特别重,经过治疗多年不愈的病人可考虑易地疗法,也就是从原先住的地区迁移到另外 一个较远的地区居住和工作,可能会收到较好的效果。这是因为迁移异地,脱离了原居住地的过敏原 的缘故。
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