Chronic dacryocystitis Nursing dacryocystorhinostomy.docVIP

 PAGE \* MERGEFORMAT 5 Chronic dacryocystitis Nursing dacryocystorhinostomy [Keywords:] nursing dacryocystorhinostomy dacryocystitis Chronic dacryocystitis is a common eye disease, lacrimal sac mucosa is a catarrhal or purulent inflammation. The disease occurs mainly in adults and the elderly, more women than men. Clinical manifestations of the lacrimal sac, conjunctiva canthal angle, and more mucus or purulent discharge. 28 eyes of 25 patients we carried out chronic dacryocystitis dacryocystorhinostomy, (ie dacryocystorhinostomy stoma surgery), between the lacrimal sac and nasal cavity to create a new channel instead of blocking nasolacrimal duct to drain tears, the lacrimal sac and nasal mucosa anastomosis, so that direct secretion and tear in the nasal lacrimal sac, lacrimal patency to reduce the suffering of patients. The group of 25 patients and after dacryocystorhinostomy lacrimal care of no epiphora, overflow pus, lacrimal patency, were discharged. discharge lacrimal irrigation once a week, once a month after the return visit in January, followed up for 6 months, patients with no epiphora, overflow septic symptoms. Nursing will now be described below. 1 Preoperative care 1.1 The psychological care to fully understand the psychological needs of patients, communication with patients and more patients and their families to explain the health knowledge of lacrimal disease, surgical treatment principle, the efficacy and safety of surgery and the importance of lacrimal surgery, so that elimination of psychological barriers in patients, remained stable mood, confidence and actively cooperate with treatment. 1.2 preoperative preparation to avoid the menstrual period of women in order to avoid massive bleeding. Keep warm and prevent cold cough. 3 days before surgery drops with antibiotic eye drops, the higher number of discharge, preoperative use of gentamicin and a week to daily lacrimal dexamethasone injection time, intraoperative irrigation with