CAJ | 학술논문

目的探讨角膜后弹力层剥除内皮移植术治疗大疱性角膜病变的护理方法.方法对22例接受角膜后弹力层剥除内皮移植术的大疱性角膜病变患者于术前有针对性加强心理护理,认真做好术前准备,术后指导督促患者坚持面朝上平卧位,注重并发症的观察及护理.结果 22例患者术后4 d都能坚持面朝上平卧位,2例发生植片移位,重新注气复位后贴附良好,7例术后高眼压,经过及时处理,均治愈出院.结论做好充分术前评估和准备,能减少术后并发症,严格执行面朝上平卧位体位、及时观察和处理并发症是保障手术成功的关键.
목적 탐토각막후탄력층박제내피이식술치료대포성각막병변적호리방법.방법 대22례접수각막후탄력층박제내피이식술적대포성각막병변환자우술전유침대성가강심리호리,인진주호술전준비,술후지도독촉환자견지면조상평와위,주중병발증적관찰급호리.결과 22례환자술후4 d도능견지면조상평와위,2례발생식편이위,중신주기복위후첩부량호,7례술후고안압,경과급시처리,균치유출원.결론 주호충분술전평고화준비,능감소술후병발증,엄격집행면조상평와위체위、급시관찰화처리병발증시보장수술성공적관건.
Objective To discuss nursing care of patients underwent corneal Descemet stripping endothelial keratoplasty to treat bullous keratopathy. Methods 22 patients who underwent corneal Descemet stripping endothelial keratoplasty to treat bullous keratopathy accepted strengthened psychological care, perfect preoperatively preparation, to sleep in face-up supine position, meanwhile complications were observed and treated carefully. Results 22 patients could persist in sleeping in face-up position for 4days postoperatively. Graft shift occurred in two cases. And after gas reinjection the grafts adhered very well. Intraocular pressure rose in 7 cases .After timely treated these 7 patients were cured and discharged. Conclusions Careful preoperative evaluation and preparation could reduce postoperative complication. Strict measures to keep patients sleeping in face-up supine position, timely observation and treatment of complications should be important to ensure the success of the operation.