静注化疗药物局部外渗的预防及护理

目的：探讨预防化疗药物外渗及外渗后局部组织损伤的护理措施。方法：分析23例药物外渗发生的原因，采取预防措施，对蒽环类化疗药外渗，局部封闭，50％硫酸镁溶液持续冷湿敷3—5d，然后再外敷金黄散、蜂蜜、食醋调成的糊状物；长春碱类外渗，局部注射透明质硬酶，并配合热敷。结果：23例患未发生皮肤溃疡，组织坏死，平均治疗日14d。结论：应根据外渗药物种类采取护理措施。

prevention and nursing measures about exudation of intraveinous chemotherapy drugs

Objective:To investigate for measures about prevention from exudation of chemotherapy drugs.Method:23 cases had been analysed,local block and 50% magnesium suffate wet dressing had been used to prevent anthra cyclide exudation,there after,combination of JinHuang san,honey and vinegar used for dressing;local use of hyaluronase,heat dressing,herbal medicine dressing can be used for VCR exduation.Result:All 23 cases without skin ulcer or tissue neerosis average therapeutic duration is 14 days.Conclusion:we should accept different measures for different drugs exudation.