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放射治疗是目前食管癌治疗的主要手段之一。放射性食管炎是食管癌病人放射治疗中常见的并发症,其发生率为54.5%,多发生在放射治疗剂量达20Gy-40Gy时。放射性食管炎主要引起食管黏膜充血、水肿、渗出及糜烂,病人表现为吞咽疼痛,进食困难的症状较放射治疗前加重,或术后病人出现吞咽梗阻的症状。放射性食管炎的发生、发展,常使病人放射治疗中断甚至终止整个治疗过程。 相似文献
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放射治疗是目前食管癌治疗的主要手段之一[1]。放射性食管炎是食管癌病人放射治疗中常见的并发症,其发生率为54.5%[2],多发生在放射治疗剂量达20Gy~40Gy时。放射性食管炎主要引起食管黏膜充血、水肿、渗出及糜烂,病人表现为吞咽疼痛,进食困难的症状较放射治疗前加重,或术后病人出现吞咽梗阻的症状。放射性食管炎的发生、发展,常使病人放射治疗中断甚至终止整个治疗过程。通过给98例接受放射治疗的食管癌病人口服自制脱水止酸混合溶液,并辅以各项护理措施,取得了明显的防治效果,无一例病人因放射性食管炎而使放射治疗暂停或终止,无一例发展… 相似文献
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近年来由于饮食结构的变化及环境污染、人口老龄化等各方面因素的影响,恶性肿瘤的发病率呈持续上升水平,放射治疗是现代肿瘤医学重要治疗手段之一.在胸部肿瘤如:肺癌、纵隔肿瘤、食道癌、乳腺癌的放疗过程中,放射线对食道黏膜损伤后产生充血、水肿,甚至一过性狭窄等致放射性食管炎;患者以进食时伴胸骨后疼痛、烧灼感、吞咽不适、食欲减退为主要症状.当放疗量达20~30GY时,患者即可出现不同程度的放射性食管炎,轻者影响正常进食,肌体营养摄入不足,重者往往中断治疗,影响病人的治疗和恢复,对疾病长期采用激素治疗易出现副作用.临床中我们自拟放疗1号治疗放疗性食管炎,收到了满意的疗效,现报道如下. 相似文献
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王小五 《中国实用护理杂志》2011,27(24)
放疗是肺癌的重要治疗手段,特别对中央型非小细胞肺癌疗效较好,但放射治疗有导致食管损伤的风险.尤其晚期中央型非小细胞肺癌,原发瘤体积较大,肺门及纵隔淋巴结转移者较多,食管往往不可避免地处于照射野内,放射性食管炎是常见的并发症.放射性食管炎是由于食管在放射损伤下出现黏膜充血水肿或糜烂所致.一般在治疗2周后、剂量> 20 Gy时出现,典型症状为胸骨后烧灼感、吞咽疼痛、吞咽困难,严重时可出现进食梗阻甚至食管穿孔.放射性食管炎严重影响了患者的生活质量,甚至影响正常治疗的完成.对此类患者进行有针对性的护理干预既能减轻患者的治疗不适感,又能使患者的治疗得以正常进行,现报道如下. 相似文献
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临床上在对胸部恶性肿瘤患者进行放射治疗时,当照射1-2周剂量达10-20Gy时,照射野内的正常食管黏膜可发生充血、水肿,可出现吞咽困难,当照射剂量达30-40Gy后,食管黏膜充血进一步加重,表现为局部疼痛或胸骨后烧灼感,重者难以忍受,尤以进食时为著,临床上称之为放射性食管炎^[1]。 相似文献
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放射性食管炎90例的护理 总被引:1,自引:1,他引:1
胸部肿瘤如食管癌、肺癌、乳腺癌、贲门癌等的放疗均可使食管受到不同程度的照射,尤其在食管癌,将食管作为放射的靶区,所受剂量较高更易发生放射性食管炎。食管照射后可出现黏膜充血、水肿及炎性反应致梗阻加重,造成吞咽困难、疼痛、黏液增多。放射性食管炎给患者带来进食困难,影响其身心状况。我们就放疗引起的放射性食管炎的护理总结如下。 相似文献
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Robert Schneider M.D. 《Abdominal imaging》1976,1(1):143-145
Roentgenographic changes in a case of tuberculosis involving the esophagus were ulceration and narrowing of the esophagus, and sinus tracts to the mediastinum. Disseminated tuberculosis was discovered only at autopsy. The diagnosis of tuberculous esophagitis in a patient with no other demonstrable tuberculous lesions is difficult, as clinical and roentgenographic findings are not specific. 相似文献
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Clinical, radiographic, and endoscopic features of medication-induced esophagitis (MIE) in 4 patients are described. When the clinical history and symptoms raise a high index of suspicion for MIE, a double-contrast esophagram or endoscopic examination should be performed. The proximal esophagus, particularly the aortic segment, and occasionally the distal esophagus are the sites most commonly affected by MIE. Superficial mucosal erosions, shallow ulcers, and subtle mucosal alterations can be demonstrated by double-contrast esophagrams if careful attention is paid during performance and interpretation of these studies in an appropriate clinical setting. 相似文献
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Mitsunaga A Matsumoto R Hoshino Y Nakamura S Murata Y Oi I Hayashi N 《Nihon rinsho. Japanese journal of clinical medicine》2002,60(8):1559-1565
There are some factors which influence reflux esophagitis, in our country atrophic gastritis is important for the degree of it especially. Helicobacter pylori(H.P.) infection is popular in aged patients, so atrophic gastritis is also popular in such patients, then the frequency of reflux esophagitis is low comparing with other countries. But because of the late of H.P. infection comes to be higher and the eradication therapy for the peptic ulcer diseases has been done in these days, the late of atrophic gastritis comes to be lower and reflux esophagitis comes to be higher. In aged patients medication and physical factors influence reflux esophagitis and these factors are different in each patient. So it is very important to treat the patient of reflux esophagitis considering of each factor. 相似文献
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