支气管动脉灌注化疗栓塞术治疗肺癌的护理

目的　探讨预防及减少肺癌患者行支气管动脉灌注化疗栓塞 (BAE)术后并发症的有效护理方法 ,提高其生活质量。方法　对 2 0 0 2年 2月～ 2 0 0 3年 8月 2 0例行BAE的原发性肺癌患者进行术后观察和护理。结论　术前充分合理的准备、术中对化疗药物充分混匀、控制注射速度、术后正确拨管、动态观察局部血运等能有效预防BAE所致胸痛、出血及脊髓损伤等并发症的发生。对局部化疗药物副反应引起恶心呕吐 ,脊髓抑制等现象 ,应严格执行无菌操作 ,采取保护性隔离措施 ,可增强患者机体抵抗力 ,提高生存质量。

Nursing of Bronchi Artery Perfusion Chemotherapy Embolism Treating Pulmonary Cancer

Objective To explore the effective nursing measures to prevent and decrease post-operative complications of Bronchi Artery Perfusion Chemotherapy Embolism (BAE) treating pulmonary cancer. Methods Carry out post-operation observation and nursing for 20 cases of primary pulmonary cancer accepting BAE from Feb. 2002 to Aug. 2003. Conclusion It appeared that, sufficient reasonable preparation before operation, mix the chemical drugs fully and control the speed of injection during operation, correct decannulation after operation, and dynamic observation of local blood circulation were effective to prevent BAE induced chest pain, bleeding, spinal injury and other complications. Concerning about the side reaction of local chemotherapy drugs such as nausea ane vomiting, spinal suppression, the aseptic manipulation must fulfilled strictly, protective isolation measures must be accepted. They will strengthen the resistance of patient's body and elevate the quality of survive.