CT引导下氩氦刀冷冻介入治疗肝癌不良反应实施治疗性干预的疗效观察.pdfVIP

中国医学装备2013年7月第10卷第7期 China Medical Equipment 2013 July Vol.10 NO.7 学术论著 CT引导下氩氦刀冷冻介入治疗肝癌不良反应 实施治疗性干预的疗效观察 ① ① ① ① ① ① 黄 沁 田 梅 刘杰爱 王玉斌 梁 蕾 谈志远 [文章编号] 1672-8270(2013)07-0039-03 [中图分类号] R735.7 [文献标识码] A [摘要] 目的： 探讨对CT引导下经皮肝穿刺氩氦刀冷冻介入术治疗肝癌过程中的不良反应实施干 预的疗效。方法：回顾性分析68例经皮肝穿刺氩氦刀冷冻介入治疗肝癌的患者，在术后发生不良 反应时给予相应的干预措施，采用心理干预措施、物理降温与药物降温相结合、止痛药物与心理 干预相结合、止血药物与观察病情、有效的冻伤皮肤治疗、药物止吐、保障组织灌流及胃肠减压 等方法，观察实施治疗性干预的疗效。结果：CT引导下经皮肝穿刺氩氦刀靶向冷冻介入术治疗 肝癌中出现的不良反应，通过治疗性干预手段，其症状均得到改善，总有效率为93.7%。结论： 全面细致地实施治疗性干预措施是氩氦刀介入治疗肝癌过程中重要的手段，疗效满意，可以有效 地减少不良反应的发生，提高患者的生命质量。 [关键词] 氩氦刀；肝癌；CT；不良反应；治疗性干预 DOI: 10.3969/J.ISSN.1672-8270.2013.07.014 作者简介 The curative effect of the therapeutic intervention that against the adverse reaction which caused by CT guided Argon-helium cryoablation therapy to hepatocellular carcinoma/ 黄沁,女,(1966- ), HUANG Qin, TIAN Mei, LIU Jie-ai, et al// China Medical Equipment,2013,10(7):39-41. 本科学历，主管技师。 [Abstract] Objective: To investigate the effect of the therapeutic intervention that against 解放军第309医院放射 the adversereaction which caused by CT guided Argon-helium cryoablation to hepatocellular 科，从事放射技术工 carcinoma. Methods: The retrospective analysis on the adverse reactions of 68 cases whom 作。 treated by Argon-helium cryoablation to hepatocellular carcinoma was conducted. The doctors gave appropriate interventions when the patients suffered adverse reactions after surgery, such as mental interventions, physical cooling combined with drug cooling, analgesic drugs combined with mental intervention; hemostatic drugs and observation, effective therapy on frostbite skin, antiemetic drugs using, protection of tissue perfusion, gastrointestinal decompression etc. Results: The adverse reaction which caused be CT guided Argon-helium cryoablation to hepatoce