循证护理在长骨骨转移癌围手术期中的应用

骨转移癌是最常见的骨骼系统恶性肿瘤，随着原发肿瘤诊治水平的不断提高，患者的生存期得以延长，导致有严重骨痛、病理性骨折、肢体功能障碍等并发症的骨转移癌的发生率也在不断增高。和脊柱、骨盆等好发转移部位相比，四肢长骨的骨转移癌相对较少见，治疗原则也不尽相同，以缓解病痛、提高生存质量、改善肢体功能为目的的外科手术已成为重要的治疗手段之一。我科1999年5月-2007年1月运用循证护理的方法对49例长骨骨转移癌外科治疗患者进行围手术期护理，效果良好，现报道如下。

Prevention and nursing for patients with complications of acute coronary artery-symptom syndrome when treated by intra-aortic balloon pumping

Objective In order to know the reasons of complication for patients with acute coronary artery-symptom syndrome when cured by intra-aortic balloon pumping, and then carry out certain effective preventive and nursing measures. Methods Retrospective summarized the reasons of complications and preventive nursing cares among 41 patients with acute coronary artery-symptom syndrome when cured by intra-aortic balloon pumping. Results There were 36 cases had complications after the intra-aortie balloon pumping, among them, there were 15 cases of hemorrhage, 14 cases of thrombocytopenia, 2 cases of renal failure, 3 cases of extremity ischemia, one case of infection and one case of cerebral embolism. All of them were corrected in time. Conclusion Careful analyze the reasons of postoperative complications, and then carry out purposive nursing cares can effective avoid part of complications for patients with acute coronary artery-symptom syndrome when cured by intra-aortic balloon pumping.