1.0T磁共振引导下肺结节微波消融围手术期护理  

1.0T open MRI-guided microwave ablation for pulmonary nodules: experience of perioperative nursing care

作　　者：王晴文[1] 李言琦 张琛[1] 于长松 李成利[1] 黄杰[1] WANG Qingwen;LI Yanqi;ZHANG Chen;YU Changsong;LI Chengli;HUANG Jie(Department of Interventional MRI,Shandong Medical Imaging Research Institute Affiliated to Shandong University,Jinan,Shandong Province 250021,China)

机构地区：[1]山东大学附属山东省医学影像学研究所磁共振介入科

出　　处：《介入放射学杂志》2019年第11期1110-1112,共3页Journal of Interventional Radiology

基　　金：山东省医药卫生科技发展计划项目（2015WS0178）

摘　　要：目的总结MR引导下肺结节患者微波消融的围术期手术护理期要点。方法采用围手术期MR介入手术室内环境管理,图像质量管理、术后并发症监测,医护技一体化临床护理模式,降低手术并发症。结果 36例患者均顺利完成MR引导下MWA治疗,术后MR评价病灶完全消融,气胸5例,针道渗血6例,发热4例,疼痛3例,咯血2例。经对症处理后均得到缓解,所有患者无严重并发症发生。结论围手术期MR介入手术医护技一体化临床护理模式有助于确保该手术的疗效。Objective To summarize the key points of perioperative nursing care for patients with pulmonary nodules who are receiving 1.0 T open MRI-guided microwave ablation(MWA). Methods A total of 36 patients were enrolled in this study. The perioperative administration of MR intervention operating room environment, the administration of image quality, the monitoring of postoperative complications and the clinical nursing model of medical, nursing and technical integration were carried out, and effort was made to reduce surgical complications. Results Successful MRI-guided MWA was accomplished in all 36 patients.Postoperative MR evaluation of the curative effect showed that complete ablation of nodules was achieved in all patients. Complications included pneumothorax(n=5), fever(n=4), pain(n=3) and hemoptysis(n=2), all of which were relieved after symptomatic treatment. No serious complications occurred. Conclusion The implementation of clinical nursing model of medical, nursing and technical integration during perioperative period of MRI-guided MWA can help ensure the effectiveness of the operation.

关 键 词：磁共振引导 肺结节 微波消融 围手术期护理 

分 类 号：R734.2[医药卫生—肿瘤]