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钇-90树脂微球选择性内放射治疗肝细胞癌患者的临床护理

Clinical nursing care for Yttrium-90 resin microsphere selective internal radiation therapy on patients with hepatocellular carcinoma

  • 摘要: 总结西南医科大学附属医院接受钇-90树脂微球选择性内放射治疗(Yttrium-90 resin microsphere selective internal radiation therapy,90Y-SIRT)的8例肝细胞癌(hepatocellular carcinoma,HCC)患者的围术期护理经验。护理要点:90Y-SIRT术前成立护理小组,动态评估患者病情,充分做好宣教工作和术前准备;术中与医师紧密配合,做好辐射防护;术后严格落实辐射护理、输液管理、穿刺部位管理等各项护理措施,并进行出院安全指导。经过系统的评估、治疗和护理,8例患者均顺利接受手术并出院。术后6个月随访,患者康复良好。

     

    Abstract: To summarize the perioperative nursing experiences of 8 patients with hepatocellular carcinoma (HCC) who received Yttrium-90 resin microsphere selective internal radiation therapy (90Y-SIRT) at the Affiliated Hospital of Southwest Medical University. Key nursing points: a nursing team should be established prior to the 90Y-SIRT procedure to dynamically assess the patient’s conditions and conduct preoperative education and preparation; during the procedure, nurses should closely coordinate with physicians and ensure radiation protection; after the procedure, strict implementation of radiation nursing, infusion management, puncture site management, and other nursing measures should be enforced, along with discharge safety guidance. After systematic assessment, treatment, and nursing care, all 8 patients successfully underwent the 90Y-SIRT and were discharged. During the 6-month follow-up, all 8 patients showed good recovery.

     

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