^(125)I粒子植入治疗后腹膜转移性淋巴结的护理  

^(125)I seed implantation in the treatment of retroperitoneal lymph node metastasis nursing

作　　者：杨如美[1] 徐寅[1] 任彩凤[1] 顾美珍[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院卢湾分院,200020

出　　处：《介入放射学杂志》2014年第4期349-351,共3页Journal of Interventional Radiology

摘　　要：目的探讨在CT引导下植入放射性125I粒子治疗后腹膜转移性淋巴结的护理。方法对25例患者术前进行心理护理,给予营养支持;做好术中准备和配合工作,监测生命体征;术后做好疼痛、发热、出血的护理以及并发症的观察和护理。结果全部患者均顺利完成了粒子植入治疗,植入后随访2~30个月。25例患者均未发生出血及肺栓塞。术后2例患者出现了重度疼痛,2例植入后1周局部皮肤红肿,在进行对症处理后消失。结论全面、周到、细致的护理是完成CT引导下放射性125I粒子植入治疗后腹膜转移性淋巴结的重要保证。Objective To investigate the clinic nursing measures for patients with symptomatic retroperitoneal lymph node metastases who receive CT-guided radioactive ^125I seed implantation therapy. Methods A total of 25 patients were enrolled in this study. The following nursing measures were strictly carried out： preoperative psychological nursing and nutritional support therapy, excellent preparation and coordination as well as monitoring of vital signs during the operation, and proper nursing and management for postoperative pain, fever, hemorrhage and complications. Results CT - guided radioactive 125I seed implantation was successfully accomplished in all patients. All patients were followed up for 2 - 30 months. No bleeding or pulmonary embolism occurred. Two patients developed severe pain. Localized red and swollen skin was observed in two patients one week after the treatment, which disappeared after symptomatic treatment. Conclusion A comprehensive, thoughtful and careful nursing is the key point to ensure a successful CT-guided radioactive ^125I seed implantation therapy for symptomatic retroperitoneal lymph node metastases.

关 键 词：放射性^125I粒子 植入治疗 后腹膜转移淋巴结 护理 

分 类 号：R473.73[医药卫生—护理学]