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目的对行介入治疗的宫颈癌患者进行细微的观察和护理,总结介入治疗护理经验。方法手术后1 h内每间隔1 0 m in检查1次足背动脉搏动;详细问询患者感受,有无发热、感觉异常、疼痛等症状,重点观察有无下肢血管痉挛、下肢局部肿胀;绝对卧床休息8 h以上,下肢制动8 h,期间做好穿刺点护理,观察皮肤切口周围组织有无缺血、皮下气肿的表现;记录手术后2 4 h尿量,以判断有无膀胱损伤;化疗时,鉴别留置导管有无移位、阻塞的情况;化疗后帮助患者做好切口护理。结果患者在接受治疗期间并未出现相关不良症状。结论患者采用化疗栓塞术与动脉灌注相结合的介入治疗方法 ,具有协同增效效果。在治疗过程中应严密观察患者的生命体征及询问患者的临床反应,能预防和减少不良反应及并发症的发生,确保患者安全。
Objective To conduct subtle observation and nursing of patients with cervical cancer who underwent interventional therapy and summarize the experience of interventional nursing. Methods Inspections of the dorsalis pedis artery were performed at intervals of 10 mins within 1 h after surgery. The patients were asked in detail about the patients’ feelings of fever, abnormal sensation and pain, with or without lower extremity vasospasm and local swelling. Bed rest more than 8 h, lower limb brake 8 h during puncture point to do care to observe the tissue around the incision with or without ischemia, subcutaneous emphysema performance; record 24 h urine output to determine whether the bladder injury ; Chemotherapy, identification of indwelling catheter displacement, obstruction; chemotherapy to help patients do incision care. Results Patients did not show any adverse symptoms during treatment. Conclusions Patients with chemoembolization and arterial perfusion combined with interventional therapy, synergistic effect. In the course of treatment should be closely observed in patients with vital signs and ask the patient’s clinical response, can prevent and reduce the incidence of adverse reactions and complications, to ensure patient safety.