1例行眼球摘除术的血友病患者的围术期护理

The perioperative care of a hemophilia A patient with the ophthalmectomy

总结了1例血友病A青光眼患者自发性眼球破裂行眼球摘除术的围术期护理。凝血功能监测和血液制品管理保证了替代疗法的有效性和安全性;做好心理护理,减轻了患者恐惧,使患者接受手术治疗;术后不仅密切观察手术相关的并发症和出血情况,还加强了专科健康教育,有力保护了患者健眼视力。患者经过精心护理,未出现局部和全身出血现象,眼部伤口愈合良好。

To summarize the experience of perioperative care of a hemophilia A patient with the ophthalmectomy after spontaneous eyeball rupture.The efficacy and safety of alternative therapy could be guaranteed through blood coagulation monitoring and blood products management. Anxiety of the patient could be decreased by the psychological care from nurses. Accordingly,the patient accepted the surgery easier due to the decreased anxiety. Acuity of the healthy eye of the patient was protected to a great extent through closely observing the complications and hemorrhagic tendency after the surgery. With the careful care,the wound of eyes cured well and there was no local or systemic bleeding.