【摘要】 目的 探討125I粒子植入治療中晚期胰腺癌的臨床并發(fā)癥及相關(guān)護(hù)理措施。 方法 回顧分析2006年10月-2010年4月121例行125I粒子植入治療的胰腺癌患者的臨床治療及護(hù)理，采取積極有效的護(hù)理措施，預(yù)防及處理并發(fā)癥，促進(jìn)患者康復(fù)。 結(jié)果 121例患者接受放射性125I粒子植入治療后，7例出現(xiàn)胰瘺，13例出現(xiàn)胃腸道反應(yīng)，經(jīng)對(duì)癥處理和精心護(hù)理后均治愈。 結(jié)論 125I粒子組織間植入近距離治療中晚期胰腺癌近期療效好、安全、副反應(yīng)少，良好的護(hù)理對(duì)改善中晚期胰腺癌患者預(yù)后具有重要意義。
【Abstract】 Objective To observe the complications in patients with middle and advanced pancreatic carcinoma due to treatment of 125I particle implantation, and the investigate the proper nursing methods. Methods The clinical data including the therapy and nursing methods for the complications in 121 patients with middle and advanced pancreatic carcinoma due to treatment of 125I particle implantation from October 2006 to October 2010 were retrospectively analyzed. The treatment and care for complication were analyzed. Results In the 121 patients who had been treated by 125I particle, pancreatic fistula occurred in seven, and severe gastrointestinal upset was found in 13. The patients with the complications recovered after postoperative treatment and nursing. Conclusion 125I particle implantation for patients with middle and advanced pancreatic carcinoma is effective and safe with a few side reactions; proper nursing is important to improve the prognosis.
引用本文： 龔姝,申文武. 125I粒子植入治療中晚期胰腺癌并發(fā)癥的觀察與護(hù)理. 華西醫(yī)學(xué), 2010, 25(11): 1975-1977. doi: 復(fù)制
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| 6. | 羅開元, 毛文源, 李波, 等. 125I粒子組織間永久植入治療惡性腫瘤的療效觀察[J]. 中華外科雜志, 2003, 34(2): 122-123. |
- 1. Jernal A, Murray T, Ward E, et al. Cancer statistics, 2005[J]. CA Cancer J Clin, 2005, 55(1): 10-30.
- 2. Sandberg A, Neoptolemos JP. Resection for pancreatic cancer in the new millennium [J]. Pancreatology, 2002, 2(5): 431-439.
- 3. 江月萍, 金震東. 內(nèi)鏡超聲引導(dǎo)下放射性125I粒子組織間植入治療胰腺癌[J]. 胰腺病學(xué), 2007, 7(4): 266-267.
- 4. 王麗芹, 李慧瓊, 趙文靜, 等. 晚期胰腺癌125I粒子植入術(shù)后并發(fā)胃癱綜合征的臨床觀察與護(hù)理[J]. 解放軍護(hù)理雜志, 2008, 25(3A): 60-94.
- 5. 楊靜, 張慧芳, 金翠香, 等. 125I粒子體內(nèi)植入治療胰腺癌護(hù)理體會(huì)[J]. 中國(guó)老年學(xué)雜志, 2005, 25(11): 18-19.
- 6. 羅開元, 毛文源, 李波, 等. 125I粒子組織間永久植入治療惡性腫瘤的療效觀察[J]. 中華外科雜志, 2003, 34(2): 122-123.