Rectal cancer observation and nursing of intraperitoneal chemotherapy.docVIP

 PAGE \* MERGEFORMAT 6 Rectal cancer observation and nursing of intraperitoneal chemotherapy OF: Juan, such as Zhuang, Yi Na, Zhang Hongshi, Huang Meijuan [Keywords:] cancer; intraperitoneal chemotherapy; Care In recent years gradually increased the incidence of rectal cancer, the lack of accurate methods for early diagnosis, treatment when most patients already late. At present, most comprehensive treatment to surgery and drugs. The Court has to take rectal cancer surgery based on the uplink intraperitoneal chemotherapy (IPC), 1998 6 -2001 in June on a careful observation of 128 patients care, to obtain satisfactory results, are as follows. 1 Clinical data The group of 128 patients aged 30 to 75 years old, between 45 to 50 years old at most, 69 cases. All cases confirmed by pathology surgery and abdominal puncture 2 to 8 times, an average of 4.5 times, with no complications. 2 treatment 2.1 Puncture empty the bladder of patients lying on the bed, choose the navel and the left or right anterior superior iliac spine and foreign connections 1 / 3 of the focal point for the puncture, conventional disinfection, Zhu Huanzhe muster big mouth breathing to the abdominal wall, with 9 to 12 waist needle, piercing the abdominal cavity vertical speed, then you can sense a breakthrough, that has entered the abdominal cavity, and then you can needle a little, to prevent straying into the intestine can be retraced to the Space Needle, as no abnormal fluid, pull out the needle core , fixed needle, connected fluid channels, which see rapid infusion liquid, if the liquid drip rate slow, adjust the direction of the needle or pin back out slightly, can be effective. In general, first try saline drops and then drop 500ml Note chemotherapy, the treatment is completed, pull out the needle, sterile gauze pressure bandage. 2.2 intraperitoneal perfusion chemotherapy (1) FU 1.0g; (2) 0.4g carboplatin or cisplatin 80mg; (3) mitomycin C 10mg; (4) lidocaine 200mg (