大肠癌肝转移患者术中射频治疗的围手术期护理  

作　　者：袁湘瑜[1] 刘树佳 王彤[1] 徐映华 

机构地区：[1]东莞市人民医院,广东东莞523018 [2]东莞市道滘医院肿瘤外科,广东东莞523176

出　　处：《现代临床护理》2007年第5期26-28,共3页Modern Clinical Nursing

基　　金：广东省东莞市自然科学基金资助课题;项目编号B2003-5及2007105150121

摘　　要：目的探讨开腹术中射频联合瘤内无水酒精注射治疗大肠癌肝转移的围手术期护理。方法回顾性总结33例开腹术中射频联合瘤内无水酒精注射治疗大肠癌肝转移的患者的相应护理措施,包括术前有针对性的心理护理,术中密切配合,术后严密观察,及时发现并发症。结果本组患者术中出现胆心反射1例,术后均有不同程度的发热,术后肾功能衰竭1例,术后粘连性肠梗阻1例。经及时处理,全部治愈出院,未发生护理并发症,无住院死亡。结论开腹术中射频联合瘤内无水酒精注射治疗大肠癌肝转移安全有效,而科学的围手术期护理是提高治疗成功率,减少并发症的重要保证。Objectives To investigate the nursing effect and safety of radio frequency ablation and ethanol injection in patients with metastatic hepatic cancer. Methods The clinical data of prospectively non-randomly selected 33 patients with metastatic hepatic cancer combined with colorectal carcinoma treated with radio frequency ablation and ethanol injection during open surgery were retrospectively analyzed. The care strategies included mental care, intraoperative close cooperation and timely finding of complica, tions. Results In the group, apart from fever at different degrees in all the case, 1 case developed with reflex of gallbladder heart, 33 with fever, 1 with acute renal failure, 1 with adhesive ileus, but all of them were cured and discharged, with no nursing complications and no death in hospital. Conclusions Radio frequency ablation and ethanol injection during open surgery for metastatic hepatic cancer is safe and effective, with few complications. The scientific perioperative nursing is vital for increasing of success rate.

关 键 词：腹腔手术 肝转移癌 射频 围手术期 护理 

分 类 号：R473.73[医药卫生—护理学]