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目的 探讨放射介入肝动脉灌注栓塞法 (TAE)治疗老年人肝癌的术后并发症的防治措施。方法 对 312例老年肝癌患者TAE术后产生的副反应及治疗效果进行回顾性分析。结果 副反应主要有恶心、呕吐 (10 0 % ) ,右上腹痛 (90 4% ) ,发热 (82 4% ) ,经对症处理后均可缓解。并发症(14 2 % )主要有肝功能损伤 (2 9% ) ,消化道出血 (1 6 % ) ,心肌损伤 (3 8% ) ,胆囊炎 (1 3 % ) ,肝脓肿 (1 3 % ) ,麻痹性肠梗阻 (0 96 % ) ,油质性肺炎 (0 6 4% )。结论 围手术期应加强对患者的护心、护肝及一般支持治疗 ;并密切观察 ,及时发现和治疗并发症 ,以保持TAE的治疗效果
Objective To investigate the prevention and treatment of postoperative complications of hepatic arterial perfusion embolization (TAE) in the elderly. Methods A retrospective analysis was performed on the side effects and the therapeutic effects of TAE after operation of 312 elderly patients with liver cancer. Results The main side effects were nausea, vomiting (10 0%), right upper quadrant pain (90 4%), fever (82 4%), after symptomatic treatment can be alleviated. Complications (14.2%) were mainly liver function damage (29%), gastrointestinal bleeding (16%), myocardial injury (38%), cholecystitis (13%), liver abscess , Paralytic ileus (0 96%) and oleosin pneumonia (0 64%). Conclusion Perioperative nursing care, liver protection and general supportive care should be strengthened. Close observation, timely detection and treatment of complications should be carried out to maintain the therapeutic effect of TAE