白内障病人护理.pptVIP

PhysicalSign白瞳症(WhitePupil)是最明显的体征NursingDiagnosis**感知改变(PerceptualAlteration)自理缺陷(SelfCareDeficit)受伤危险(RiskforInjury)知识缺乏(KnowledgeDeficit)潜在并发症(PotentialComplications)32145NursingGoals**DCBA病人视力提高自理恢复避免受伤熟悉相关知识E避免并发症**白内障病人护理

(NursingforCataractPatients)晶状体在眼球内的位置

(PositionofLensintheEye)PulletEggEggYolkEggWhiteEggShell晶状体的特性

(PropertiesofLens)Transparent(透明的)BodyProtein[pr?uti:n]Convex[‘k?n’veks]（Degree：1000-1200）DiseaseDescriptionDefinition：广义上讲，任何因素导致晶体(lens)出现浑浊(turbidness)[‘t?:bidnis]都可称为(cataract)白内障国情(NationalConditions）6000万(sixtymillion)白内障患者100万(onemillion)白内障患者应施行手术每年新增患者40万(fourhundredthousand)人口老龄化，患者逐年增加，白内障治疗、护理任务项繁重(Aburdensometask)白内障临床分类

(ClassificationofClinic)SenileCataract[‘si:nail]年龄相关性白内障(age-relatedcataract）TraumaticCataract[tr?:‘m?tik]外伤性白内障:眼球穿孔伤、钝挫伤代谢性白内障：糖尿病，甲状腺疾病MetabolicCataract[,met?b?lik]四：CongenitalCataract[k?nd?enitl]

先天性白内障MedicamentousCataract药物性中毒性白内障：长期使用“类固醇”药物RadiatedCataract[reidieitid]辐射性白内障：因放射线所致**老年性白内障

SenileCataract年龄增长，晶状体逐渐混浊，即为老年性白内障。一般起于40～45以后主要病因:氧化损害(OxidativeDamage)[?ksideitiv]临床表现:眼前阴影和渐进性、无痛性视力减退(VisualDeterioration)[di,ti?ri?rei??n]NursingAssessment(一)HealthHistory年龄(Age)01外伤(Trauma)02营养(Nutrition)03遗传(Heredity)[hirediti]04代谢(Metabolize)[m?t?b?laiz]05全身病(GeneralDisease)06身体状况

(PhysicalCondition)症状(Symptom)渐进性视力下降(GradualVisualDeterioration）[di,ti?ri?rei??n]ClinicalStages**一期(InitialStage)无视力下降（对视力无影响）皮质内出现空泡，水裂和板层分离，从周边逐渐向中央扩大，呈“羽毛状”或楔形浑浊此期发展缓慢，可经数年二期：膨胀期(DilatationalStage)视力下降晶体呈不均匀浑浊晶体体积变大，将虹膜向前推移前房变浅诱发急性闭角型青光眼AACG:（AcuteAngleClosureGlaucoma)三期：成熟期(MaturityStage)[m?tju?riti]视力下降至眼前手动/光感晶体灰白色均匀浑浊虹膜投影消失眼底不能窥入四期：过熟期(OverripeStage)[?uv?raip]1视力突然提高(晶体皮质液化→外溢→核下沉）2前房