眼眶海绵状血管瘤围术期的护理.pdfVIP

2008年03月第25卷第03；lll Prac J Med＆Pharm．Vol 25，2008—03 No．03 - 309· 护 理 眼眶海绵状血管瘤围术期的护理 · 论 著· 李瑞芹 (山东医学高等专科学校附属医院，山东临沂 276004) 【摘 要】 目的 探讨眼眶海绵状血管瘤罔术期护理及心理护理的方法。方法 术前进行详细的生理、心 理评估，进行积极术前准备，使患者身心处于最佳状态，术后密切观察切LI和视 情况，采取半卧位以及视 力监视等措施，防止眶内血肿和视力丧失，做好出院指导。结果 32例患者均兀感染、眼眶内血肿或视力丧 失等并发症发生，平均住院8．2tl，均痊愈出院。结论 系统有效的术1】i『及术后护理以及针对性心理护理足 提高手术成功率、减少术后并发症的重要保 。 【关键词J眼眶海绵状血管痛 罔术期护卵 I中图分类号】R777．5：R473．77 l文献标识码l A Peri—OperatiOn nursing of patients with orbital cavernous hemangioma Hospital of Shandong Medical College，Linyi 276004，China 【Abstract] 0bjective To investigate the nursing method for patients with orbital cavernous hemangioma， Methods Before operation the patients were given the psycho—and physio—nursing care．routine instroduction，lecture of disease and medication．and instl’oduetion of diet anti rest，SO as to making the patients get a better physically and mentally status．After operation，the WO[1nd and visual status were closely observed，SO as to prevent orbital hematom and 、 isual loss，and were given the direction of discharge，Results Through the nursing (are．al1 these patients had been cured．and no complication occurred，the average hospitalization dmationsⅥere 8．2 days．Conclusion It is intportant to gi、 e nul‘sing care for patients with orbital cavernous hemangioma SO that enhancing saceessful rate of oporation and reducing postoperative complications． 【Key words】 Cavernous hemangioma Peri—operation nursing 原发于H艮眶的肿瘤并不少见，其中尤以眶内海 例，复视3例；视乳头水肿7例，视神经萎缩1例， 绵状m管瘤(intraorbital cavernous hemangioma)的发 有 12例发现眼底压迫征，包括后极部隆起、脉络膜 病率最高I 1。可在任何年龄发生，有的于儿童期出 皱褶、视网膜水肿或黄斑变性等。1 1例眼球向肿瘤 现，大多见于中青年，女性较多见。发病早期常无症 方向转动受限。本组均经手术治疗，无视力丧失者， 状，随着 管瘤的生长，眼球逐渐突出，H艮位偏移， 切口渗m 4例，头痛呕吐5例，眼球活动受限2例， 并出现斜视、复视等症状。眼眶内海绵