Percutaneous ethanol injection on the treatment of liver cancer and nursing.doc

 PAGE \* MERGEFORMAT 10 Percutaneous ethanol injection on the treatment of liver cancer and nursing [Keywords:] Percutaneous ethanol injection therapy for liver cancer care Liver cancer is one of the most common malignant tumor, the cancer mortality rate among the first three, the current treatment of liver resection is to approach the house. For most patients with liver cancer when the diagnosis is limited to tumor location, size, number of lesions, liver function and general condition of other reasons can not tolerate surgery, radical resection is not possible, the tumor ethanol injection therapy is the surgical removal of liver cancer can not be a more safe and reliable method of treatment. First, the treatment (A) preoperative preparation 1. Were prepared to check the liver and kidney function, electrocardiogram, a blood clotting time, preoperative fasting, surgical skin preparation area. 2. Devices for ultrasound and biopsy probe ①: Requires high-resolution real-time imaging capabilities of ultrasound. Puncture probe is generally used in sector scan probe guided puncture. ② puncture needle and guide the needle: the routine use of 20-23GrChiba needles, length 10 -22cm, diameter 0.6-0.9mm. Used to guide needle 18G, 7cm long needle, the needles puncture the abdominal wall and not only into the abdominal cavity, to ensure that the direction of fine needle aspiration is not offset, reduce needle tract contamination. Simple needle side hole dispersion force spotty, and closed end, how near one side of the hole.’s closed needle after injection, better dispersion. trocar recently introduced, coat with 2-3 needles, the needles have a certain arc, after piercing needle from his coat like a fountain-like into the surrounding can tumor, while recovery of ethanol injection needle side, then rotate a certain angle, but also injected one, make extensive tumor infiltration ethanol. ③ ethanol choice: generally used in more than 95% ethanol, filtra