CT引导射频消融术治疗肺癌11例的护理

目的:探讨静脉诱导麻醉实施CT引导经皮肺穿刺射频消融(radio frequency ablation,RFA)术治疗肺癌的护理方法。方法:实施CT引导经皮肺穿刺RFA术,对CT引导经皮肺穿刺RFA术治疗肺癌11例进行术前准备、术中配合及术后严密监护全程护理。结果:11例患者均成功施行RFA术,术中无并发症发生;术后有5例患者出现发热,温度在37.5~38.6℃,3例胸痛,3例咯血,经过解热、镇痛、止血等对症治疗以及加强护理后,均很快缓解。结论:加强术前患者心理护理、术中配合以及术后监护,有助于RFA术顺利完成与减少手术并发症,并能够及时发现、尽早处理并发症,有利于患者尽快康复。

Nursing care of 11 patients with lung cancer treated with CT-guided radio frequency ablation

Objective:To evaluate the nursing methods on lung cancer patients treated with CT-guided percutaneous radiofrequency ablation(RFA) under intravenous anesthesia. Methods:Eleven patients were treated with CT-guided RFA. All patients were received health education and psychological nursing before operation,careful co-operating during operation and corresponding observation after operation. Results:The successful rate of RFA was 100%. The complications were not observed during operation,however,after RFA, the symptom of fever from 37.5 to 38.6℃ was appeared in 5 cases,chest pain happened in 3 cases and hemoptysis in 3 cases. These complications were quickly disappeared through corresponding treatment and enhancing nursing. Conclusions:Intensive nursing and active care during perioperative period of RFA are contributed to increase the successful rate of operation and decrease the incidence of complication. It is necessary to discover and deal with the complications as early as possible and promote postoperative recovery.