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中华实验和临床感染病杂志(电子版) ›› 2016, Vol. 10 ›› Issue (02) : 200 -203. doi: 10.3877/cma.j.issn.1674-1358.2016.02.014

临床论著

获得性免疫缺陷综合征合并隐球菌性脑膜炎患者的眼部护理
许雪静1, 柳月红1,(), 刘彬彬1, 董愉1   
  1. 1. 100015 北京,首都医科大学附属北京地坛医院眼科
  • 收稿日期:2015-04-27 出版日期:2016-04-15
  • 通信作者: 柳月红

Care for eyes of patients with acquired immune deficiency syndrome complicated with cryptococcal meningitis

Xuejing Xu1, Yuehong Liu1,(), Binbin Liu1, yu Dong1   

  1. 1. Department of Ophthalmology, Beijing Ditan Hospital, Capital Medical University, Beijing 100015, China
  • Received:2015-04-27 Published:2016-04-15
  • Corresponding author: Yuehong Liu
引用本文:

许雪静, 柳月红, 刘彬彬, 董愉. 获得性免疫缺陷综合征合并隐球菌性脑膜炎患者的眼部护理[J]. 中华实验和临床感染病杂志(电子版), 2016, 10(02): 200-203.

Xuejing Xu, Yuehong Liu, Binbin Liu, yu Dong. Care for eyes of patients with acquired immune deficiency syndrome complicated with cryptococcal meningitis[J]. Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition), 2016, 10(02): 200-203.

目的

总结获得性免疫缺陷综合征(AIDS)合并隐球菌性脑膜炎患者的眼部并发症及眼部护理方法。

方法

回顾性分析42例AIDS合并隐球菌性脑膜炎患者的眼部并发症,总结其护理方案。

结果

19例患者(37只眼)出现视乳头水肿,6例患者(12只眼)出现视神经萎缩,2例患者(4只眼)出现脉络膜病灶,3例患者(6只眼)出现复视,1例患者单眼合并巨细胞病毒性视网膜炎(CMVR)。11例患者眼底正常。42例患者(84只眼)中17只眼视力为光感~0.1,12只眼视力为0.12~0.3,视力≤ 0.3的患眼占总数的34.5%,55只眼视力为0.4~1.0。

结论

临床护理工作中应密切观察患者的颅内压、视力及眼底变化,对低视力患者加强生活技能及视力的训练,有利于控制病情,提高患者的生活质量。

Objective

To summarize the complications and nursing methods for eyes of the patients with acquired immunodeficiency syndrome (AIDS) and Cryptococcal meningitis.

Methods

Total of 42 AIDS patients complicated with Cryptococcal meningitis infection in eyes were analyzed, while the nursing plans were summarized.

Results

There were 19 cases (37 eyes) with papilledemas; 6 cases (12 eyes) with optic atrophy; 2 cases (4 eyes) with multifocal choroiditis; 3 cases (6 eyes) with diplopias; one eye of a patient with cytomegalovirus retinitis (CMVR). Eleven cases were with normal fundus. Among the 84 eyes, the visual acuity of 17 eyes were light perception to 0.1; 12 eyes were 0.12-0.3. The cases with the visual acuities less than 0.3 were 34.52%. The visual acuities of 55 eyes with the 0.4 to 1.0.

Conclusions

In clinical nursing, it is beneficial for the patients to manage the condition and improve the quality of life, by observing the change of intracranial pressure, visual acuity and fundus closely, and the exercises of life skills and vision trainings for patients with low visions were improved.

表1 艾滋病合并隐球菌性脑膜炎患者眼部并发症
表2 艾滋病合并隐球菌性脑膜炎患者的视力
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