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难治性白血病大剂量化疗后的护理策略
引用本文:江雪梅,蒋天秀,陈以宽,罗凤莲,王淑华.难治性白血病大剂量化疗后的护理策略[J].检验医学与临床,2010,7(11):1059-1060.
作者姓名:江雪梅  蒋天秀  陈以宽  罗凤莲  王淑华
作者单位:重庆医科大学附属第二医院血液科,400010
摘    要:目的探讨难治性白血病大剂量化疗后的临床护理策略。方法对重庆医科大学附属第二医院血液科2007年1月至2009年10月收治的21例难治性白血病患者大剂量化疗后的护理进行回顾性分析和总结。结果 19例(90.48%)出现不同程度的感染,但经用普通抗生素均有效地控制了感染。3例(14.29%)出现口腔黏膜溃烂。无1例患者选择放弃继续治疗,无1例出现死亡。结论重视难治性白血病大剂量化疗后的心理护理、用药护理及药物相关毒性的预防十分重要。

关 键 词:难治性白血病  化疗  护理

Nursing strategy of refractory leukemia after high-dose chemotherapy
JIANG Xue-mei,JIANG Tian-xiu,CHEN Yi-kuan,LUO Feng-lian,WANG Shu-hua.Nursing strategy of refractory leukemia after high-dose chemotherapy[J].Laboratory Medicine and Clinic,2010,7(11):1059-1060.
Authors:JIANG Xue-mei  JIANG Tian-xiu  CHEN Yi-kuan  LUO Feng-lian  WANG Shu-hua
Institution:.Department of Hematology,Second Affiliated Hospital,Chongqing University of Medical Science,Chongqing 400010,China
Abstract:Objective To investigate the clinical nursing strategies of refractory leukemia after high-dose chemotherapy.Methods The nursing work of 21 patients with refractory leukemia from January 2007 to October 2009,treated with high-dose chemotherapy,were retrospectively analyzed.Results Varying degrees of infection occurred in 19 (90.48%) patients,but ordinary antibiotics effectively controlled the infection.Oral mucosal ulceration arised in 3 (14.29%) patents.None of the patients gave up further treatment,and no deaths occurred.Conclusion Paying more attention to psychological care,medication nursing and the prevention of drug-related toxicity are very important for the patients with refractory leukemia after high-dose chemotherapy.
Keywords:refractory leukemia  chemotherapy  nursing
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