儿童实体肿瘤经动脉插管化疗栓塞术的护理  

Nursing of children with solid tumors treated by arterial chemoembolization

作　　者：莫霖[1] 王秋鸿[1] 吴书娟[1] 邹科[1] 

机构地区：[1]重庆医科大学附属儿童医院肿瘤外科,重庆400014

出　　处：《重庆医科大学学报》2010年第6期957-959,共3页Journal of Chongqing Medical University

摘　　要：目的:回顾性研究儿童实体肿瘤经动脉化疗栓塞治疗的术前、术中及术后护理,以期保证手术的安全实施及术后顺利康复。方法:我院2008年4月～2010年1月安全实施20例0.3～7岁儿童实体肿瘤经动脉插管化疗栓塞术(Transcatheter arterial chemoembolizatin,TACE),执行严格、规范化的术前、术中及术后护理管理,尤其是术中的严密监护、术后的密切动态观察及相应护理措施包括术中心电监护、患儿制动,术后腹痛、发热、穿刺处的观察与护理等。结果:20例患儿手术安全实施,未发生与护理相关的并发症及意外;术后除出现发热等栓塞术后综合征外,无术后穿刺部位出血、严重感染等并发症发生,全部病例于术后7～10d康复出院。结论:充分的术前准备,严格、规范化的术中、术后监测及护理可确保介入手术安全进行,利于患儿术后康复,可有效地避免与护理有关的并发症及意外的发生。Objective：To retrospective study of the preoperative,intraoperative,and postoperative nursing of children with solid tumors treated by arterial chemoembolization,in order to ensure the safety of surgery and successful of postoperative rehabilitation. Methods：20 children,aged 0.3 to 7 years,with solid tumors underwent successful surgery of arterial chemoembolization from April 2008 to Jan. 2010 in the hospital where the authors worked.The surgical manage ment were strict and standardized,so were preoperative,intraope rative and postoperative nursing management,particularlyintraoperative intensive care,close postoperative dynamic observation,and other relevant nursing measures such as intraoperative ECG, calming the children,relieving postoperative abdominal pain and fever,observation and care of puncture. Results：20 cases of surgery were safely implemented without the occurrence of nursing ～related complications and accidents;postoperative fever,etc. Except postoperative embolization syndrome,postoperative bleeding,severe infection,and other complications did not occurr,and？ all patients was discharged 7～10 d later. Conclusion：The adequate preoperative preparation,strict and standardized postoperative monitoring and care can ensure the safety of interventional procedures,help postoperative rehabilitation,and effectively prevent care ～related complications and accidents.

关 键 词：儿童 实体肿瘤 化疗栓塞 护理 

分 类 号：R248.2[医药卫生—中医临床基础]