鼻咽部血管纤维瘤患者围手术期的护理体会  

The Nursing Realization on Nasopharyngeal Angiofibroma in Perioperative Term

作　　者：叶灵茶[1] 

机构地区：[1]上海第二医科大学附属第九人民医院耳鼻咽喉科,上海市200011

出　　处：《中国全科医学》2005年第20期1718-1719,共2页Chinese General Practice

摘　　要：目的探讨鼻咽部血管纤维瘤患者围手术期护理的重要性.方法对2001年3月～2004年9月收治的4例鼻咽部巨大血管纤维瘤患者,术前均采取了数字减影血管造影术(DSA)介入治疗,3～6 d再行手术治疗,期间予以如下护理:(1)做好术前准备、心理护理及健康指导,保证手术顺利进行;(2)向患者讲解行DSA栓塞术的必要性;(3)针对术后可能出现的并发症密切观察病情变化,及时处理.结果 4例患者均顺利摘除肿瘤组织,无手术切口感染和术后出血,均顺利出院.经手术后随访,其中1例复发,未进行继续治疗,余3例均无复发,恢复良好.结论精心细致、及时有效的围手术期护理有助于减少手术并发症,提高手术治疗效果.Objective To explore the importance of nursing patients with huge nasopharyngeal angiofibroma in perioperative term.Methods To review the clinical materials of 4 cases with huge nasopharyngeal angiofibroma from Mar 2001 to Sep 2004.All patients were performed preoperative endovascular treatment by DSA and 3 to 6 days later,received surgical procedure.During this period,we provided following clinical nursing:(1)perfecting preoperative preparations,psychological therapy and healthy guide to ensure the success of operation;(2)explaining the necessity of performing endovascular treatment by DSA and clinical nursing for eliminating the patients′fear;(3)against the possibility of postoperative complications,carefully observing and giving timely management in the case of emergence.Results Nasopharyngeal angiofibroma of 4 patients were discharged smoothly without incision infection and postoperative bleeding.In the follow-up,1 case relapsed and was treated continuously,and the other three cases didn′t relapse,they relapse better.Conclusion The careful and effective perioperative nursing was benefit to decrease the postoperative complications and to increase the effect of operative treatment.

关 键 词：血管纤维瘤 鼻咽部 围手术期 护理 

分 类 号：R739.6[医药卫生—肿瘤]