原发性开角型青光眼的护理英语查房课件

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1、ThenursingcareofPrimaryOpen-AngleGlaucoma原发性开角型青光眼的护理Contents主要内容Casepresentation病历介绍DefinitionofPOAGPOAG的定义Signsandsymptoms症状与体征Pathophysiology病理生理Riskfactors危险因素Epidemiology流行病学Medicalandsurgicalmanagement药物和手术治疗Nursingaction护理措施Summary小结Casepresenta

2、tion病历介绍MissKe,female,32y柯女士，32岁Chiefcomplaint:lefteyeblurredvisionformorethanhalfayear,withoutheadacheandvomitting主诉：左眼视力模糊半年多，无头痛和呕吐Familyhistory:grandmaandaunt家族史：外婆和小姨有青光眼pastmedicalhistory：lasertrebeculoplasty(2012-4-20)andTBX+MMC(2012-9-26)ofthel

3、efteye病史：左眼分别于2014-4-20和2012-9-26进行了激光小梁成形术和TBX+mmcCasepresentation病历介绍Eyeexamination眼科检查IOP:OD:38mmHgOS:48mmHg(aftermedicaltherapy)眼压：OD:38mmHgOS:48mmHg（药物控制下）VA:OD:NLPOS:1.0视力：OD:NLPOS:1.0Anteriorchamberdepth（OS）:3CT左眼前房深度：3CTPupildiameter（OS）:3*3.5m

4、m左眼瞳孔直径：3*3.5mmCasepresentation病历介绍Diagnosis:primaryopen-angleglaucoma(POAG)(OS)诊断：左眼原发性开角型青光眼Casepresentation病历介绍C/D（OS）:about0.6左眼杯盘比：0.6VF（OS）:Physiologicalblindspotenlarged左眼视野：生理性盲点扩大Casepresentation病历介绍Surgeryundertaken:TBX+MMC（OS）手术：左眼TBX+MMCIOP

5、aftersurgerydecreasedwithinnormalrange术后眼压降至正常水平DefinitionofPOAGPOAG的定义Primaryopen-angleglaucoma iswhenopticnervedamageresultsinaprogressivelossofthevisualfield原发性开角型青光眼是指视神经损伤导致的进行性视野缺损AnormalrangeofvisualfieldThesameviewwithvisualfieldlossfromglaucom

6、aSignsandsymptoms症状与体征Earlysymptomsareuncommon早期症状不常见graduallyprogressivevisualfieldloss(nasalperipheralfieldlossatfirst)进行性的视野缺损（首先是鼻侧视野缺损）AtpresentmostpatientswithPOAGaredetectedbyoptometristsorophthalmologistsatroutineexaminations目前多数POAG患者是验光师或眼科医生

7、在常规检查中发现的Signsandsymptoms症状与体征increasedC/Dratio(0.5-0.9)onfundoscopicexamination在眼底镜检查时杯盘比增大（0.5-0.9）Pathophysiology病理生理trabecularmeshworkobstructed小梁网阻塞Aqueouscan’tflowoutoftheanteriorchamber房水不能流出前房Thepressureintheeyebuildsupgradually眼压逐渐增高Impercepti

8、bleverygradualvisionloss不知不觉中视力丧失PeripheralvisionisaffectedfirstHighmyopia高度近视Centralretinalveinocclusion视网膜中央静脉阻塞Retinaldetachmentcausedbyaretinalhole视网膜孔导致的网脱RiskfactorsforPOAGPOAG的危险因素Familyhistory家族史RaisedIOP高眼压Increasingage高龄Africa