1例泌尿系统手术后双眼内源性真菌性眼内炎的护理

Nursing Care of One Case of Bilateral Endogenous Fungal Endophthalmitis Following Urinary System Surgery

摘要: 总结1例泌尿系统结石行输尿管镜检术后致双眼内源性真菌性眼内炎的护理体会。护理要点：实施涵盖眼部情况、血糖变化及泌尿系统功能的多方面监测；严格执行接触隔离与无菌操作，以预防感染扩散；对抗真菌药物的局部及全身使用进行细致管理与观察；落实玻璃体手术硅油填充术后的特殊体位要求；为患者提供低视力状态下的安全照护与心理支持；加强泌尿系统术后的健康宣教；并制定详细的出院后延续护理方案。经过12天的精心护理，患者双眼感染得到控制，住院期间未出现护理相关并发症，出院时眼压维持在正常范围。术后半年随访显示眼内炎未复发，双眼矫正视力均恢复至0.6。

Abstract: Summarize the nursing experience of one case of bilateral endogenous fungal endophthalmitis after ureteroscopy for urinary calculi. The key nursing measures included comprehensive monitoring of ocular conditions, blood glucose changes and urinary system function, strictly implement contact isolation and aseptic techniques to prevent the spread of infection, carefully manage and observe the local and systemic use of antifungal drugs, compliance with special positioning requirements after vitrectomy with silicone oil tamponade, safety care and psychological support for the patient with low vision, enhanced health education after urinary system surgery, and formulation of a detailed transitional care program after discharge. After 12 days of meticulous nursing care, the infection in both eyes of the patient was controlled. No nursing-related complications occurred during hospitalization, and intraocular pressure remained within the normal range at discharge. The six-month follow-up after the operation showed that endophthalmitis did not recur, and the corrected visual acuity of both eyes recovered to 0.6.