顺铂化疗致严重迟发性恶心呕吐患者的观察与护理  

作　　者：高瑞珍[1] 郭秀泉[1] 许然[1] 严朝娴[1] 刘婉清[1] 

机构地区：[1]中山大学附属肿瘤医院,广东广州510060

出　　处：《现代临床护理》2004年第5期26-27,共2页Modern Clinical Nursing

摘　　要：目的总结顺铂(DDP)化疗致严重迟发性恶心呕吐患者的护理要点。方法采用DDP对40例肿瘤患者进行治疗。结果患者每天呕吐5次以上,均出现不同程度的电解质紊乱,其中2例出现麻痹性肠梗阻,5例出现腹泻。结论应重视对化疗所致的迟发性恶心呕吐的观察及处理,及早纠正患者水电解质、酸碱平衡紊乱,并做好心理安慰及各种药物副反应的护理,以保证患者顺利完成化疗。Objectives To summarize the nursing key points of severe delayed nausea and vomiting induced by chemotherapy. Method Forty cases with severe delayed nausea and vomiting induced by chemotherapy were retrospectively analyzed. Results In the patients with severe delayed nausea and vomiting, the times of vomiting everyday is above 5, which greatly influenced the appetite and induced electrolytic disorders. Two cases had paralytic ileus and 5 cases had diarrhea. Conclusion We should pay more attention to the observation and nursing of these symptoms caused by chemotherapy, treat the electrolytic disorder and acid-base imbalance as early as possible and provide psychological nursing as well as nursing of drug-induced side effects so that patients can complete the process of chemotherapy.

关 键 词：顺铂 化学治疗 严重迟发性呕吐 病情观察 心理护理 护理技术 

分 类 号：R473.73[医药卫生—护理学] R730.53[医药卫生—临床医学]