CAJ | 학술논문

总结1例白血病行异基因造血干细胞移植术后发生移植物抗宿主病（ GVHD）的患者继发重症干眼症及角膜溃疡的护理体验。护理要点是预防继发性感染，干眼症的护理，皮肤及口腔护理，羊膜覆盖术的围手术期护理，同时做好心理疏导，加强健康宣教，预防后期并发症的发生。经过精细治疗及综合护理，治疗18 d后患者出院时眼部症状好转，视力提高，全程无角膜穿孔、高眼压及继发感染等并发症的发生。
총결1례백혈병행이기인조혈간세포이식술후발생이식물항숙주병（ GVHD）적환자계발중증간안증급각막궤양적호리체험。호리요점시예방계발성감염，간안증적호리，피부급구강호리，양막복개술적위수술기호리，동시주호심리소도，가강건강선교，예방후기병발증적발생。경과정세치료급종합호리，치료18 d후환자출원시안부증상호전，시력제고，전정무각막천공、고안압급계발감염등병발증적발생。
This paper summarizes the nursing experience of a case of graft versus host disease ( GVHD) complicated with se-rious xerophthalmia and corneal ulcer in a case of leukemia following allogene hemopoietic stem transplantation .The most important things in nursing were the prevention of secondary infection , the nursing of xerophthalmia , the body surface , the mouth cavity and perio-perative nursing of amniotic membrane covering .At the same time, efforts should be made to relieve strains psychologically and to pre-vent occurrence of complications at the late stage .After 18 days of careful treatment and comprehensive nursing , eye symptoms were ob-viously improved and eye sight was increased , without such complications as corneal peroration , high intraocular pressure and secondary infection in the whole course of treatment .