CAJ | 학술논문

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。
목적：탐토재CT인도하식입방사성125I입자치료후복막전이성림파결적호리。방법대25례환자술전진행심리호리，급여영양지지；주호술중준비화배합공작，감측생명체정；술후주호동통、발열、출혈적호리이급병발증적관찰화호리。결과전부환자균순리완성료입자식입치료，식입후수방2~30개월。25례환자균미발생출혈급폐전새。술후2례환자출현료중도동통，2례식입후1주국부피부홍종，재진행대증처리후소실。결론전면、주도、세치적호리시완성CT 인도하방사성125I입자식입치료후복막전이성림파결적중요보증。
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.(J Intervent Radiol, 2014, 23:349-351).