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春季结合膜炎是一种有季节性和规律性的变态反应性炎症,按Coobs氏分类法,本病属于Ⅰ型变态反应性病。一般认为花粉、紫外线或尘埃等为变态反应原,但往往不易证实。每年复发,轻者经3~4年可愈,重者持续十多年仍不愈。刺激症状甚重,奇痒难忍。我院自1980年2月至12月共观察38例,兹分析如下。 1、年龄最小者4岁,最大者28岁,好发年龄为6~20岁。在38例中男性30例,女性8例。 2、类型:球结合膜型20例(52%),混合型10例(27%),睑结膜型8例(21%)。 3、结膜刮片细胞学检查:对结膜刮片常规作瑞氏染色,能找到嗜酸性细胞,急性期明显增多,大部分细胞膜破裂,并见有多量的嗜酸性颗粒散在于标本中,或被上皮细胞所吞
Spring conjunctivitis is a seasonal and regular allergic inflammation, according to Coobs’s classification, the disease is type Ⅰ allergic disease. Generally considered pollen, ultraviolet light or dust as allergens, but often not easy to confirm. Recurrence every year, light by 3 to 4 years can be more serious cases continued more than ten years still unhealed. Very irritating symptoms, itchy unbearable. Our hospital from February 1980 to December a total of 38 cases observed, it is analyzed as follows. 1, the youngest 4 years old, the largest of 28 years old, good hair age of 6 to 20 years old. In 38 cases, 30 males and 8 females. 2. Type: 20 cases (52%) with ball-associated membrane type, 10 cases (27%) mixed type and 8 cases (21%) with conjunctiva type. 3, conjunctival smears Cytological examination: routine Wright staining of conjunctival scraps, can find eosinophils, acute phase was significantly increased, most of the cell membrane rupture, and see a large number of eosinophilic granules scattered in the specimen, or Epithelial cells swallowed