Local block with lidocaine treatment of chemotherapy extravasation ice.docVIP

 PAGE \* MERGEFORMAT 5 Local block with lidocaine treatment of chemotherapy extravasation ice Of: Liaowen Ying, Liu Zhaofu, Leung Wai-man [Keywords:] lidocaine; ice; chemotherapy In malignant tumors, the chemotherapy drugs is the primary means of comprehensive treatment programs, as a long course of chemotherapy in patients with malignant tumors in the course of repeated chemotherapy, intravenous chemotherapy drugs by the stimulation, most of them have been damaged, therefore, drug extravasation is peripheral venous common complication of chemotherapy drugs, if not handled properly after extravasation of drugs, the light can lead to local swelling, hard pain, phlebitis; severe cases can cause the surrounding tissue necrosis, or loss of function. on the treatment of chemotherapy extravasation a partial closure, 50% magnesium sulfate wet compress, ice, I use lidocaine local block, intermittent ice for 10 cases, satisfactory results. are as follows. 1 Data and methods 1.1 General Information January-May 2009 observation of 105 patients with cancer chemotherapy, the occurrence of extravasation of chemotherapeutic drugs in 10 cases, including 6 males and 4 females; age of 43 to 62 years, mean 52 years. Skin is not damaged in 9 cases, 1 case of epidermal damage, local swelling, extending along the vein to a maximum diameter of 10 cm are associated with varying degrees of local pain. 1.2 Methods of local extravasation of chemotherapy drugs, with 0.9% saline 20 ml of 2% lidocaine diluted 5 ml, dexamethasone 5 mg, partial ring along the edge of closure of leaking, and then continue to ice the local 24 h, patients limb braking rest. 2 Results 10 cases of extravasation of chemotherapeutic drugs in patients treated by this method, redness, swelling, pain, local skin color and vein elasticity gradually returned to normal; 5 cases of venous elastic than before reduction; one case of damaged skin, with the approval Hirudoid cream applied after the woun