中华护理杂志 ›› 2025, Vol. 60 ›› Issue (22): 2771-2775.DOI: 10.3761/j.issn.0254-1769.2025.22.014

• 疑难重症护理 • 上一篇    下一篇

1例原发性眼内淋巴瘤合并神经梅毒患者的护理

李睿文(), 倪杨(), 韩宇, 王菁瑜   

  1. 200032 上海市 复旦大学附属眼耳鼻喉科医院护理部
  • 收稿日期:2025-03-08 出版日期:2025-11-20 发布日期:2025-11-13
  • 通讯作者: 倪杨,E-mail:1326830714@qq.com
  • 作者简介:李睿文:女,硕士,主管护师,E-mail:15921854579@163.com
  • 基金资助:
    复旦大学护理学院护理科研基金(教学研究部分)(FNET-20221)

Perinatal nursing care for a patient with primary intraocular lymphoma complicated by neurosyphilis:a case report

LI Ruiwen(), NI Yang(), HAN Yu, WANG Jingyu   

  • Received:2025-03-08 Online:2025-11-20 Published:2025-11-13

摘要:

总结1例原发性眼内淋巴瘤合并神经梅毒患者的护理经验。护理要点:整合多学科资源,组建多学科团队;眼部和全身的用药护理;抑郁评估和心理护理;精确识别中枢神经系统症状,预防并发症;随访期阶段性开展个性化的健康指导;低视力康复指导。经过多学科团队积极治疗和精心护理,患者视力提升,情绪平稳,顺利出院。门诊随访1年,患者已完成眼内和全身化疗,肿瘤症状缓解,恢复良好。

关键词: 原发性眼内淋巴瘤, 神经梅毒, 多学科团队, 围手术期护理

Abstract:

This care summarizes the nursing experience for a patient with primary intraocular lymphoma complicated by neurosyphilis. The highlights of nursing for the case were as follows. Preoperative integration of multi-disciplinary resources to establish a multi-disciplinary team;postoperative medication care for ocular and systemic treatment;providing targeted depression assessment and psychological care,accurately identifying central nervous system symptoms and preventing complications;during the follow-up period,conducting personalized health guidance stage by stage;providing low vision rehabilitation guidance. Through active multidisciplinary treatment and meticulous nursing care,the patient achieved visual acuity improvement and stable mood,and the patient was successfully discharged. During a year of continuous outpatient follow-up,the patient completed intraocular and systemic chemotherapy,achieved complete tumor remission,and remained in good condition.

Key words: Primary Intraocular Lymphoma, Neurosyphilis, Multidisciplinary Team, Perioperative Nursing