《喉癌护理查房.pptVIP

喉癌的护理查房 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 分型 表现 治疗 疾病概况 病因 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 吸烟 癌前病变 空气污染 病毒感染 喉癌的发病原因目前医学上是并不完全明确,可能与以下因素有关: 性激素 饮酒 发病因素 病因 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 临床分型 声门上型 声门型 声门下型 声门旁型 分化好、发展慢、转移晚 介于上两型之间 发展慢、病程长 分化差、发展快、 转移早 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 声门上型 声门型 声门下型 声门旁型 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 症状与体征 1.声音嘶哑 2.呼吸困难 3.疼痛 4.吞咽困难 5.咳嗽和咳血 6.喉阻塞 7.颈部转移性肿块 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 治疗方法 治疗方法 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 病例介绍 入院生命体征 T:36.7 ℃ P:82次/分 R:20次/分 Bp:114/67mmHg 诊断：声门上型喉癌 主诉: 发现颈部包块20天，稍咽痛 16床 吴树球 52岁 男 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 专科检查：会厌及舌根处可见肿物，表面粗糙；右侧颈部Ⅱ区可见一椭圆形肿物，大小约6cm*8cm，质硬，无触痛及压痛；边界清，活动度欠佳。入院后完善颈部CT、纤维喉镜检查及活检等检查确诊为声门上型喉癌。 诊疗经过：患者于2012-11-16、2012-12-08行TPF诱导化疗，过程顺利。2012-12-28患者为求手术进一步治疗收治入院。2013-01-04全麻下行手术治疗。 病例介绍 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 病例介绍 术后 喉水平部分切除术＋双侧颈淋巴清扫术＋气管切开术 2012-01-04术后21:45安返病房，P：83 R：20 Bp：114/70，留置胃管，气管套管，伤口引流管，尿管，术后第一天引流示：左侧32ml 右侧87ml。术后第二天引流示：左侧30ml，右侧130ml。 手术方式 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 术前护理诊断 焦虑、恐惧 知识缺乏 与患者对癌症的恐惧、担心预后有关。 对疾病知识的缺乏。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 As