Abstract:

To summarize the perioperative nursing experience of a newborn with bacterial corneal ulcer undergoing corneal transplantation. Preoperative nursing points：to strengthen eye observation and protection to avoid corneal perforation；to properly administer systemic and eye medication to control infection. Postoperative nursing points：to closely observe the condition of corneal grafts to prevent postoperative complications；to provide eye drops on time after surgery to ensure medication safety；to emphasize pain management and provide nutritional support；to provide targeted health education to parents to ensure that the patient receives continuous care. Through multidisciplinary team collaboration，meticulous treatment and care，the corneal graft of the patient was clear，the suture was not loose，and there was no bleeding in the anterior chamber after 1 week of corneal transplantation. The vital signs were stable，and the patient was discharged from the hospital，and ophthalmic follow-up was conducted. After 7 weeks of surgery，the suture was successfully removed and the corneal transplantation was successful.

Key words: Corneal Ulcer, Corneal Transplantation, Perioperative Nursing, Neonatal Nursing

摘要：

总结1例细菌性角膜溃疡新生儿行角膜移植的围手术期护理经验。术前护理要点：加强眼部观察及保护，避免角膜穿孔；正确给予全身及眼部用药，控制感染。术后护理要点：密切观察角膜移植片情况，预防术后并发症；按时给予眼药点眼，保证用药安全；重视疼痛管理，给予营养支持；给予家长针对性的健康宣教，使患儿得到延续性护理。经多学科团队协作、精心治疗与护理，患儿术后1周角膜移植片清亮，缝线无松动，前房无出血，生命体征平稳，好转出院。门诊眼科随防，术后7周顺利拆线，角膜移植成功。

关键词: 角膜溃疡, 角膜移植, 围手术期护理, 新生儿护理