中外医学研究
中外醫學研究
중외의학연구
Chinese and Foreign Medical Research
2015年
32期
92-94
,共3页
侵蚀性葡萄胎%转移%护理体会
侵蝕性葡萄胎%轉移%護理體會
침식성포도태%전이%호리체회
Aggressive mole%Transfer%Nursing experience
侵蚀性葡萄胎绒毛可侵入子宫肌层或血管或两者皆有,起初为局部蔓延,水泡样组织侵入子宫肌层深部,有时完全穿透子宫壁,并扩展进入阔韧带或腹腔,半数病例随血运转移至远处.其中以发生肺转移最为常见,其次是阴道转移、肝转移和脑转移.少数发生盆腔转移并可侵蚀双侧肾脏、输尿管.葡萄胎治疗后,务必对患者进行定期的回访,了解患者病情变化.护理人员需对患者进行全面的检查及评估,进行预见性护理干预,根据不同的治疗调整护理措施.化疗时,做好心理护理及深静脉置管的护理,无菌操作,病房消毒,防止感染,协助患者完成化疗.
侵蝕性葡萄胎絨毛可侵入子宮肌層或血管或兩者皆有,起初為跼部蔓延,水泡樣組織侵入子宮肌層深部,有時完全穿透子宮壁,併擴展進入闊韌帶或腹腔,半數病例隨血運轉移至遠處.其中以髮生肺轉移最為常見,其次是陰道轉移、肝轉移和腦轉移.少數髮生盆腔轉移併可侵蝕雙側腎髒、輸尿管.葡萄胎治療後,務必對患者進行定期的迴訪,瞭解患者病情變化.護理人員需對患者進行全麵的檢查及評估,進行預見性護理榦預,根據不同的治療調整護理措施.化療時,做好心理護理及深靜脈置管的護理,無菌操作,病房消毒,防止感染,協助患者完成化療.
침식성포도태융모가침입자궁기층혹혈관혹량자개유,기초위국부만연,수포양조직침입자궁기층심부,유시완전천투자궁벽,병확전진입활인대혹복강,반수병례수혈운전이지원처.기중이발생폐전이최위상견,기차시음도전이、간전이화뇌전이.소수발생분강전이병가침식쌍측신장、수뇨관.포도태치료후,무필대환자진행정기적회방,료해환자병정변화.호리인원수대환자진행전면적검사급평고,진행예견성호리간예,근거불동적치료조정호리조시.화료시,주호심리호리급심정맥치관적호리,무균조작,병방소독,방지감염,협조환자완성화료.
Erosion sex hydatidiform mole fluff can invade the uterine muscle layer or blood vessels or both,at first for the local spread at blister sample organization invade of the uterine muscle layer,and sometimes completely penetrate the uterine wall,and expand into the broad ligament or abdominal cavity,half of cases transfer to the distant place with the blood flow.The most common is pulmonary metastasis,liver metastasis and brain metastasis.A few pelvic metastases bilateral kidney,ureter and erosion.After Hydatidiform mole treatment,be sure to regular visits to patients to understand the patient condition changes.Nurses needed to conduct a comprehensive inspection and assessment on the patients,giving predictive nursing intervention,and according to different treatment to adjust nursing measures.When chemotherapy,do psychological nursing and deep venous catheter care,aseptic operation,disinfection,prevent infection,and to help patients with chemotherapy.