经防反流动脉导管药盒系统灌注化疗治疗盆腔肿瘤的护理  

Clinical nursing of pelvic neoplasm treated with infusion chemotherapy by using an anti-reflux arterial port-catheter system

作　　者：邢丽[1] 袁婵娟[1] 

机构地区：[1]海南省人民医院介入放射中心,海口570311

出　　处：《介入放射学杂志》2011年第2期151-154,共4页Journal of Interventional Radiology

摘　　要：目的探讨经防反流动脉导管药盒系统(PCS)灌注化疗治疗盆腔肿瘤的护理。方法 17例盆腔恶性肿瘤患者成功植入防反流PCS,并经动脉导管多次灌注化疗,做好植入药盒前后护理,掌握药盒穿刺使用的正确技术,及时处理化疗药物不良反应及并发症,做好患者出院指导及保护药盒的方法。结果 17例经3～8次灌注化疗,均未发生留置导管堵管。定期灌注化疗药物过程顺利,灌药过程无渗漏,植入药盒术后局部无明显刺激、压迫症状,无严重并发症。肿瘤完全缓解6例,部分缓解9例,2例病情进展,有效率88.2%。结论针对经防反流动脉导管药盒系统灌注化疗的特点,采取合理有效的护理措施对治疗的顺利进行和保障疗效非常重要。Objective To discuss the clinical nursing care for patients with pelvic neoplasm who were treated with infusion chemotherapy by using an anti-reflux arterial port-catheter system.Methods After the implantation of an anti-reflux arterial port-catheter system was successfully completed,intra-arterial infusion chemotherapy was carried out in 17 patients with pelvic neoplasm and the infusion chemotherapy was repeated for several times.The pre-procedural clinical nursing care was well done and the technique of proper placement was well grasped.The side effects of chemotherapy drugs and complications were dealt with in time.Medical orientation at discharge time included the protection methods for port-catheter system.Results Seventeen patients received infusion chemotherapy successfully several times（ranged from 3 to 8 times） with a scheduled regular interval time.No severe complications occurred.No catheter leakage nor obvious irritation and compression symptoms of local skin developed during infusion period.Of the 17 patients,6 had a complete response,9 achieved a partial response,while the remaining 2 failed to respond.Conclusion In accordance with characteristics of infusion chemotherapy by using an anti-reflux arterial port-catheter system,the reasonable and effective nursing care is important to guarantee the achievement of a successful performance and a satisfactory therapeutic result.

关 键 词：盆腔肿瘤 导管药盒系统 动脉内注射 化疗 护理 

分 类 号：R473.73[医药卫生—护理学]