胸腔注入生理盐水B超引导下微波固化治疗膈顶部肝癌的护理  

Nursing care of patients using ultrasound-guided microwave coagulation therapy with artificial pleural effusion for liver carcinoma in the hepatic dome

作　　者：黄蔚华[1] 张海英[2] 罗桂嫦[1] 

机构地区：[1]广州市中山大学肿瘤防治中心肝胆科,510060 [2]中山大学肿瘤防治中心ICU

出　　处：《中华护理杂志》2009年第12期1089-1091,共3页Chinese Journal of Nursing

摘　　要：目的探讨胸腔注入生理盐水辅助微波固化治疗膈顶部肝癌的护理要点。方法回顾性分析了2004年6月至2009年2月在我院进行人工胸水辅助微波固化治疗膈顶部肝癌的患者34例术前、术后的资料。结果34例均顺利完成治疗。人工胸水术后相关副反应中最常见为轻度胸闷,大部分患者于3-7d消失。其中3例患者术后第2天出现呼吸困难、血氧饱和度(SpO2)下降,经抽出人工胸水后症状缓解,SpO2恢复正常。微波术后的不良反应有发热、呼吸时疼痛、肝功能异常,经过对症治疗和护理34例均改善,所有治疗无严重并发症发生。结论充分的术前准备、密切的术中配合以及术后严密、周到的观察与护理,可减少并发症的发生。Objective To discuss the key points of nursing care for patients using uhrasound-guided microwave coagulation therapy with artificial pleural effusion for liver carcinoma in the hepatic dome. Methods The preoperative and postoperative data of 34 patients who were hospitalized in our hospital from June 2004 to February 2009 were reviewed. Results All the patients finished the treatment successfully. Slightly chest distress was the most frequently complication correlated to artificial pleural effusion,mostly disappeared in 3-7 days. Only 3 patients suffered from dyspnea and a decrease of SpO2 in the second day after the treatment. The symptoms were relieved after a drainage of pleural. The common side effects of microwave coagulation therapy were found as fever,pain during deep respiration and liver dysfunction,which were relieved after symptomatic treatment and nursing care. No severe complication was found. Conclusions Adequate preoperative preparation,proper intraoperative cooperation,close postoperative observation and nursing are the key points to decrease complications.

关 键 词：胸腔 微波 肝肿瘤 护理 

分 类 号：R473.73[医药卫生—护理学]