白内障超声乳化术后急性眼内炎护理.docVIP

白内障超声乳化术后急性眼内炎护理 　 作者：施颖辉，干海琴，叶晓林，余林敏 ［摘要］; 目的; 探讨白内障超声乳化术后急性眼内炎的护理方法。方法; 回顾性分析6眼白内障超声乳化术后急性眼内炎的治疗护理经过，并总结护理经验。结果; 我院于1998年10月～2006年4月共做白内障超声乳化术7672眼，其中发生急性眼内炎6眼，发生率0.078%。经过玻璃体切除联合玻璃体腔注药术、全身和局部抗生素治疗，及护士及时的心理干预、用药护理、加强预防感染措施等，6眼白内障超声乳化术后急性眼内炎患者的视力得到不同程度改善，其中2眼为0.3～0.5，2眼为0.1～0.2，2眼为手动～0.1，无摘除眼球情况发生。病人对炎症控制效果及视力恢复情况均较为满意，无医疗纠纷发生。结论; 白内障超声乳化术后急性眼内炎是白内障超声乳化术最为严重的并发症之一，及时、快速、有效的护理措施可以使病人积极地配合治疗护理，将不良后果降到最低限度，使病人视力得到最大限度的改善。 　　［关键词］; 白内障；超声乳化白内障吸除术；眼内炎；护理 　　［Abstract］; Objective; To investigate the nursing method of endophthalmitis after phacoemulsification.Methods; Retrospective analysis of the nursing procedure of 6 endophthalmitis eyes after phacoemulsification,and nursing experiences were summarized.Results; From Oct.1998 to Apr.2006,7672 eyes of cataract were performed phacoemulsification in our hospital,6 eyes were postoperative endophthalmitis,with an incidence of 0.078%.Treatment included vitrectomy,vitreous antibiotics injection,systemic and local antibiotic therapy.Through the combination of mental intervention,medicine care,and enforced infection prevention by nurse,visual acuity of the 6 eyes endophthalmitis were improved by different degree.Among them,2 eyes were 0.3～0.5,2 eyes were 0.1～0.2,the other 2 eyes were HM～0.1,no eyes were removed,and all patients were satisfied to the sight recovery and infection control.No medical disputation look place.Conclusion; Acute endophthalmitis after phacoemulsification is one of the most severe complications in cataract surgery.Prompt and effective nursing therapy can make patients more cooperated,severe consequent be avoid mostly,and make it possible to recover the most of the visual acuity. 　　［Key words］; cataract;phacoemulsification;endophthalmitis;nursing ; 白内障超声乳化术是目前治疗白内障最常用、最有效的方法。术后急性眼内炎则是白内障超声乳化术最为严重的并发症之一,一方面它损害视功能,破坏眼内结构，致使手术失败,视力丧失；另一方面也使施术者承担了巨大的心理压力，并常常引发医疗纠纷。因此，早期预防、诊断、有效治疗和护理，将不良后果降到最低限度显得尤为重要。我院于1998年10月～2006年4月共做白内障超声乳化术7672眼，其中发生急性眼内炎6眼，发生率0.078%。经紧急治疗护理，6眼视力均有不同程度改善，无一眼摘除眼球，无医疗纠纷发生。现将有关护理要点汇报如下。