CAJ | 학술논문

目的探讨胸腔注入生理盐水辅助微波固化治疗膈顶部肝癌的护理要点.方法回顾性分析了2004年6月至2009年2月在我院进行人工胸水辅助微波固化治疗膈顶部肝癌的患者34例术前、术后的资料.结果 34例均顺利完成治疗.人工胸水术后相关副反应中最常见为轻度胸闷,大部分患者于3-7d消失.其中3例患者术后第2天出现呼吸困难、血氧饱和度(SpO_2)下降,经抽出人工胸水后症状缓解,SpO_2恢复正常.微波术后的不良反应有发热、呼吸时瘁痛、肝功能异常,经过对症治疗和护理34例均改善,所有治疗无严重并发症发生.结论充分的术前准备、密切的术中配合以及术后严密、周到的观察与护理,可减少并发症的发生.
목적 탐토흉강주입생리염수보조미파고화치료격정부간암적호리요점.방법 회고성분석료2004년6월지2009년2월재아원진행인공흉수보조미파고화치료격정부간암적환자34례술전、술후적자료.결과 34례균순리완성치료.인공흉수술후상관부반응중최상견위경도흉민,대부분환자우3-7d소실.기중3례환자술후제2천출현호흡곤난、혈양포화도(SpO_2)하강,경추출인공흉수후증상완해,SpO_2회복정상.미파술후적불량반응유발열、호흡시췌통、간공능이상,경과대증치료화호리34례균개선,소유치료무엄중병발증발생.결론 충분적술전준비、밀절적술중배합이급술후엄밀、주도적관찰여호리,가감소병발증적발생.
Objective To discuss the key points of nursing care for patients using ultrasound-guided microwave coagulation therapy with artificial pleural effusion for liver carcinoma in the hepatic dome.Methods The preoperative and postoperative data of 34 patients who were hospitalized in our hospital from June 2004 to February 2009 were reviewed.Results All the patients finished the treatment successfully.Slightly chest distress was the most frequently complication correlated to artificial pleural effusion,mostly disappeared in 3-7 days.Only 3 patients suffered from dyspnea and a decrease of SpO_2 in the second day after the treatment.The symptoms were relieved after a drainage of pleural.The common side effects of microwave coagulation therapy were found as fever,pain during deep respiration and liver dysfunction,which were relieved after symptomatic treatment and nursing care.No severe complication was found.Conclusions Adequate preoperative preparation,proper intraoperative cooperation,close postoperative observation and nursing are the key points to decrease complications.