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儿童自体外周造血干细胞回输的护理
引用本文:田晨杰,唐锁勤,杨婷婷. 儿童自体外周造血干细胞回输的护理[J]. 解放军护理杂志, 2009, 26(7): 30-31
作者姓名:田晨杰  唐锁勤  杨婷婷
作者单位:解放军总医院,门诊内科,北京,100853;解放军总医院,小儿内科
摘    要:
目的总结儿童患者自体外周血造血干细胞回输的护理要点。方法35例恶性肿瘤患儿经大剂量化疗或化疗加放疗的预处理后,接受解冻后的冻存自体外周造血干细胞的回输。结果患儿共接受冻存自体造血干细胞回输70次,回输后出现了不良反应:血红蛋白尿54例次(77.1%)、头痛28例次(40.O%)、呕吐24例次(34.3%)、恶心17例次(24.3%)、心率失常11例次(15.7%)、腹痛8例次(11.4%)、腹泻2例次(2.8%)、发热1例(4.O%)。未发生心脏、肝、肾功能衰竭及休克等严重反应。结论儿童冻存自体外周造血干细胞回输易出现不良反应,护理人员应加强患儿的心理护理、专业的对症护理、预防不良反应,使回输安全有效进行。

关 键 词:儿童  自体造血干细胞  不良反应  护理

Nursing of Autologous Peripheral Blood Stem Cell Reinfusions in Children
TIAN Chen-jie,TANG Suo-qin,YANG Ting-ting. Nursing of Autologous Peripheral Blood Stem Cell Reinfusions in Children[J]. Nursing Journal of Chinese People's Liberation Army, 2009, 26(7): 30-31
Authors:TIAN Chen-jie  TANG Suo-qin  YANG Ting-ting
Affiliation:1.Internal Medical of Out-patient Department;General Hospital of PLA;Beijing 100853;China;2.Pediatric Department;General Hospital of PLA
Abstract:
Objective To summarize the nursing features of peripheral blood stem cell(PBSC) reinfusions in children.Methods A total of 35 children with malignant tumors received reinfusions of cryopreserved stem cells after undergoing high-dose chemotherapy or chemotherapy with radiation.Results The adverse reactions observed following 70 reinfusions included hemoglobinuria in 54 patients(77.1%),headache in 28(40.0%),nausea in 24(34.3%),vomiting in 17(24.3%),abdominal pain in 8(11.4%),diarrhea in 2(2.8%) and fever in 1...
Keywords:children  autologous peripheral blood stem cell  adverse reactions  nursing care  
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