获得性免疫缺陷综合征并眼底病变患者的检查护理与职业防护

目的探讨获得性免疫缺陷综合征（AIDS）并眼底病变者检查的护理方案及职业防护措施。 方法对32例AIDS患者进行全面的眼科检查及CD4⁺ T淋巴细胞检测。 结果32例AIDS患者中，15例出现眼底改变，检出率为46.9%。其中眼部表现眼前黑影、视物模糊者7例，无眼部症状者8例。10例眼底表现为棉绒斑，4例单纯视网膜出血，17例眼底正常，1例巨细胞病毒性视网膜炎，占眼底病变AIDS患者的3%。 结论AIDS患者可通过临床表现及眼底检查进行诊断，早期即可发现眼底病变，积极治疗可防止失明的发生，可有效地提高患者生活质量。

Care and occupational protection for patients of acquired immunodeficiency syndrome with fundus lesions

ObjectiveTo investigate the nursing of acquired immunodeficiency syndrome (AIDS) complicated with fundus lesions during check scheme and the measures of occupational protection. MethodsComprehensive ophthalmic testing and CD4⁺ T lymphocytes detection were taken in 32 cases with AIDS with fundus lesions. ResultsAmong the 32 cases, 15 cases were with fundus changed, with the detectioned rate of 46.9%. Seven cases with eye shadow in the sight and blurred vision; 8 cases with no ocular symptoms; 10 cases with cotton-wool spot in fundus, 4 cases with pure retinal hemorrhage; 17 cases with normal fundus; 1 case with cytomegalovirus retinitis, accounting for 3% of AIDS patients complicated with fundus lesions. ConclusionsAIDS patients could be diagnosed by clinical manifestation and fundus examination, who could be found fundus lesions early. Active treatment can prevent blindness, and effectively improve the patients quality of life.