应用RetCam_(3)行婴幼儿口服法眼底血管荧光造影的护理  

Nursing experience of RetCam_(3)ultra-widefield oral fluorescein angiography in infants

作　　者：黄思建[1] 黎小瑜 李晓辑 孙立梅 HUANG Sijian;LI Xiaoyu;LI Xiaoji;SUN Limei(Department of Pediatric Eye Diseases,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou 510063,China)

机构地区：[1]中山大学中山眼科中心小儿眼病综合科,广州510063

出　　处：《眼科学报》2021年第10期836-839,共4页Eye Science

摘　　要：目的:探讨应用数字化广域成像系统RetCam_(3)行婴幼儿口服荧光素钠眼底血管荧光造影(fluorescein fundus angiography,FFA)的护理。方法:选择2018年8月至2019年12月在广州中山大学中山眼科中心小儿眼病综合科就诊的眼底疾病婴幼儿78例,应用RetCam_(3)进行口服法FFA检查及护理,将护理要点进行总结。结果:所有患儿安全、顺利完成检查,检查过程中均未发生异常病情变化或与检查、药物相关的并发症。经FFA确诊家族性渗出性玻璃体视网膜病变(familial exudative vitreoretinopathy,FEVR)26例,早产儿视网膜病变(retinopathy of prematurity,ROP)23例,色素失禁症患者6例;玻璃体积血患者3例;视网膜母细胞瘤患者3例;牵牛花综合征患者1例;视网膜色素变性患者3例;弓蛔虫眼病患者1例;原始永存玻璃体患者2例;不明原因眼底病变患者5例,单眼视网膜皱襞患者1例,先天性小眼球患者1例,巨细胞病毒感染患者1例,先天性黄斑发育不良患者1例;Coats病患者1例。结论:应用RetCam_(3)行婴幼儿口服法FFA是一种安全、有效的检查方法。规范、恰当的护理配合能够保证检查准确、顺利地完成。Objective:To share the nursing experience of RetCam_(3) ultra-widefield oral fluorescein fundus angiography(FFA)in infants with fundus diseases.Methods:Seventy-eight infants with fundus diseases admitted to General Department of Pediatric Ophthalmology in Zhongshan Ophthalmic Center,Sun Yat-sen University from August 2018 to December 2019 were recruited.Oral FFA was carried out using the 130-degree lens of RetCam_(3),and the key points of nursing were summarized.Results:No complications related to the examination and drugs occurred after oral FFA with an appropriate nursing manner.FFA confirmed 26 cases of familial exudative vitreoretinopathy,23 cases of retinopathy of prematurity and 6 cases of pigment incontinence.Vitreous hematoma was observed in 3 patients,retinoblastoma in 3 patients,Morning Glory syndrome in 1 patient,retinitis pigmentosa in 3 patients,Ascaris lumbricoides eye disease in 1 case,original permanent vitreous body in 2 patients,unexplained fundus lesions in 5 patients,monocular retinal fold in 1 patient,congenital micro-eyeball in 1 patient,cytomegalovirus infection in 1 patient,congenital macular dysplasia 1 patient and Coats disease in 1 patient.Conclusion:Oral FFA with RetCam_(3) is an effective and safe detection method for infants.Standard and proper nursing can ensure the examination can be performed accurately and smoothly.

关 键 词：口服荧光素钠血管造影术 数字化广域成像系统 婴幼儿 护理 

分 类 号：R473.77[医药卫生—护理学]