儿童真菌性眼内炎手术后的护理。

眼科学报 Pub Date : 2015-03-01 DOI:10.3969/j.issn.1000-4432.2015.01.008

Liqin Xu, Junlian Tan

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引用次数: 0

摘要

目的探讨儿童真菌性眼内炎手术治疗后的护理。方法对真菌性眼内炎患儿32例(32只眼)进行研究。患儿在接受抗真菌药物治疗后，分别行玻璃体内注射、玻璃体内注射药物联合玻璃体切除术或玻璃体内注射联合玻璃体切除术和眼内C3F8填塞。术前做好心理隔离护理和用药准备。术后严格观察病情严重程度的变化。选择合适的体位，保护眼睛不受感染。结果32例真菌性眼内炎患者中，8例(25%)炎症减轻，视力无明显变化。18例(56.25%)患者术后视力均有不同程度改善。6例(18.75%)患儿炎症得到有效控制，视力下降。未见交叉感染。结论术前应做好隔离护理和给药准备。术后应密切监测病情严重程度的变化。患者应在适当的体位上接受有效的治疗，以提高手术疗效。

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Nursing Care after Surgical Treatment of Fungal Endophthalmitis in Children.

PURPOSE To explore the nursing care following surgical treatment of fungal endophthalmitis in children. METHODS Thirty two children (32 eyes) with fungal endophthalmitis were enrolled in this study. After receiving antifungal medication, the children underwent either intravitreal injection, intravitreal injection of medicine combined with vitrectomy, or intravitreal injection in combination with vitrectomy and intraocular C3F8 tamponade. Prior to surgery, psychological and quarantine nursing, and medication use was properly prepared. After the surgery, the changes in the severity of diseases were strictly observed. A suitable body posture was selected and the eyes were protected from infection. RESULTS Among 32 patients with fungal endophthalmitis, 8 (25% ) cases presented with alleviated inflammation and no changes in visual acuity. The visual acuity of 18 cases (56.25%) was improved to different extents postoperatively. The inflammation in 6 children (18.75%) was properly controlled and the visual acuity declined. No cross-infection was noted in any patient. CONCLUSION Prior to surgery, quarantine nursing and drug administration should be properly prepared. Postoperatively, the changes in the severity of diseases should be tightly monitored. The patients should be treated with effective therapies in a proper position, aiming to enhance the surgical efficacy.

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来源期刊

眼科学报

自引率

0.00%

发文量

1312

期刊介绍： Eye science was founded in 1985. It is a national medical journal supervised by the Ministry of Education of the People's Republic of China, sponsored by Sun Yat-sen University, and hosted by Sun Yat-sen University Zhongshan Eye Center (in October 2020, it was changed from a quarterly to a monthly, with the publication number: ISSN: 1000-4432; CN: 44-1119/R). It is edited by Ge Jian, former dean of Sun Yat-sen University Zhongshan Eye Center, Liu Yizhi, director and dean of Sun Yat-sen University Zhongshan Eye Center, and Lin Haotian, deputy director of Sun Yat-sen University Zhongshan Eye Center, as executive editor. It mainly reports on new developments and trends in the field of ophthalmology at home and abroad, focusing on basic research in ophthalmology, clinical experience, and theoretical knowledge and technical operations related to epidemiology. It has been included in important databases at home and abroad, such as Chemical Abstract (CA), China Journal Full-text Database (CNKI), China Core Journals (Selection) Database (Wanfang), and Chinese Science and Technology Journal Database (VIP).