肝癌患者行载药微球栓塞治疗不良反应的观察及护理  

Observation and nursing care for adverse reactions of drug-eluting beads transcatheter arterial chemoembolization for the treatment of primary hepatocellular carcinoma

作　　者：陈冬萍[1] 肖书萍[1] 饶亚丽 刘家成 Chen Dongping;Xiao Shuping;Rao Yali;Liu Jiacheng(Department of Radiology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院放射科/分子影像湖北省重点实验室,湖北武汉430022

出　　处：《护理学杂志》2020年第5期38-40,共3页Journal of Nursing Science

基　　金：分子影像湖北省重点实验室开放基金项目(02.03.2018-109)。

摘　　要：目的探讨肝癌患者行载药微球经导管动脉化疗栓塞治疗不良反应的护理方法。方法选取行载药微球经导管动脉化疗栓塞术的原发性肝癌患者172例,观察记录不良反应,并及时进行预防护理。结果患者术后发生肝区疼痛137例,发热51例,便秘74例,恶心呕吐114例,溶瘤综合征2例。1例溶瘤综合征经治疗无效死亡,其余171例经处理均顺利恢复出院。结论载药微球经导管动脉化疗栓塞治疗肝癌术后常见不良反应有肝区疼痛、发热、便秘、恶心呕吐等。应提前采取有效措施,及时观察和处理,降低并发症发生率。Objective To summarize nursing care for adverse reactions of drug-eluting beads transcatheter arterial chemoembolization(DEB-TACE)for the treatment of primary hepatocellular carcinoma.Methods A total of 172 patients with primary hepatocellular carcinoma undergoing DEB-TACE were enrolled.The adverse reactions were observed and preventive nursing care was provided.Results Pain around the liver region occurred in 171 patients,fever in 51 patients,constipation in 74 patients,nausea and vomiting in 114 patients,and tumor lysis syndrome in 2 patients.One patient who had tumor lysis syndrome died,and the rest 136 cases were discharged after recovery.Conclusion Pain,fever,constipation,nausea and vomiting are common adverse reactions after DEB-TACE procedures,therefore effective measures should be taken to reduce the occurrence of postoperative complications.

关 键 词：肝癌 化疗栓塞术 载药微球 不良反应 肝区疼痛 发热 便秘 溶瘤综合征 

分 类 号：R473.73[医药卫生—护理学]