一例双眼粘连性角膜白斑合并大面积皮肤瘢痕挛缩患者的护理

Nursing care of a patient with combined cicatricial contracture of skin of large area

目的 探讨粘连性角膜白斑合并大面积皮肤瘢痕挛缩患者行穿透性角膜移植术的护理.方法 对患者实施术前心理护理及术后眼部护理,包括眼部清洁、眼部用药、羊膜移植的观察与护理、眼部并发症的预防与护理、皮肤护理、血管的选择及保护,出院指导等护理措施.结果 通过个体护理方案,患者术后未出现并发症,角膜植片愈合良好.结论 穿透性角膜移植是治疗粘连性角膜白斑最有效的治疗方法,护理人员根据患者病情变化及时制定不同的护理措施,有助于患者角膜愈合.

Objective To discuss the efficacy of nursing care after penetrating keratoplasty of patients with bilateral adherent leucoma complicated with cicatricial contracture of skin of large area.Methods Mental health care before operation and eye care after operation were taken,which includes eye cleansing,eye medications,the observation and treatment of amniotic membrane grafting,the prevention and treatment of eye complications,skin care,the protection of blood vessels,and discharge instructions.Results Through a series of specific nursing care,no complications developed after operation,and the corneal graft was well healed. Conclusions Penetrating keratoplasty is the most effective treatment for adherent leukoma,and specific nursing care given timely according to patient＆#39;s condition is beneficial to the healing of corneae.