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目的探讨腹腔镜胃癌根治术后早期腹腔热灌注化疗并发症观察要点和护理方法。方法 21例腹腔镜胃癌根治术治疗的进展期胃癌患者均接受了术后早期腹腔热灌注化疗,观察相关并发症的发生率,并采取具有针对性的护理干预措施。结果 21例患者术后共发生并发症12例次,其中包括5例恶心、呕吐症状,3例肺部感染,1例引流管渗液,1例腹痛腹胀,1例灌注管堵塞,1例高热等。所有患者通过合理的治疗及针对性的护理,均顺利实施腹腔热灌注化疗。结论通过仔细观察相关并发症,配合针对性的护理干预,能够提高腹腔镜胃癌根治术后早期热灌注化疗的安全性,对改善患者预后具有重要推动作用。
Objective To investigate the main points and nursing methods of complications of early intraperitoneal hyperthermic chemotherapy after radical operation of laparoscopic gastric cancer. Methods Twenty-one patients with advanced gastric cancer underwent radical laparoscopic radical gastrectomy underwent early postoperative intraperitoneal hyperthermic perfusion chemotherapy. The incidence of related complications was observed and targeted nursing interventions were taken. Results A total of 12 patients were followed up in 21 patients, including 5 cases of nausea and vomiting, 3 cases of pulmonary infection, 1 case of drainage tube exudate, 1 case of abdominal distension, 1 case of occlusion of the perfusion tube and 1 case of hyperthermia Wait. All patients through the reasonable treatment and targeted care, are successful implementation of intraperitoneal hyperthermic chemotherapy. Conclusions Careful observation of the related complications and targeted nursing intervention can improve the safety of early post-laparoscopic radical gastrectomy chemotherapy and improve the prognosis of patients.