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首都医科大学附属北京佑安医院 放射科, 北京 100069
Published Online:06 December 2023,
Received:12 October 2023,
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Haiyan ZHAO, Donglian YU, Xin WANG. Multidisciplinary nursing care of a patient with endometrial cancer liver metastasis and difficulty in peripheral venous catheter puncture underwent CT vascular three-dimensional imaging. [DB/OL].Clinical Archives of Integrative Medicine (2023)
Haiyan ZHAO, Donglian YU, Xin WANG. Multidisciplinary nursing care of a patient with endometrial cancer liver metastasis and difficulty in peripheral venous catheter puncture underwent CT vascular three-dimensional imaging. [DB/OL].Clinical Archives of Integrative Medicine (2023) DOI: 10.12209/CAIM202310120017.
本文总结1例子宫内膜癌肝转移患者的多学科护理体会。为明确病灶情况,需行CT肝脏血管三维成像检查,但该例患者因肥胖和多次化疗,导致外周血管穿刺困难。针对上述情况,予个性化护理措施,确定护理要点,具体包括:根据患者个体情况,迅速组建多学科护理团队;基于多学科护理团队,进行系统评估、监测患者图像质量及高压注射对比剂后不良反应;予患者全程心理护理与健康教育。经护理,患者顺利完成检查,图像质量达到诊断标准,为患者手术治疗提供准确依据。
This article summarized the multidisciplinary nursing experience of a case of endometrial cancer with liver metastasis. In order to clarify the lesion, CT liver vascular three-dimensional imaging was needed, but the patient's obesity and multiple chemotherapy made peripheral vascular puncture difficult. In view of the above situation, individualized nursing measures were given to determine the key points of nursing, including: according to the individual condition of patients, quickly set up a multidisciplinary nursing team; Based on the multidisciplinary care team, carries on the system image quality assessment and monitoring patients and adverse reactions after high pressure injection of contrast medium; The entire psychological nursing and health education to patients. After nursing, the patient successfully completed the examination, and the image quality reached the diagnostic standard, providing accurate basis for the patient's surgical treatment.
子宫内膜癌外周静脉导管穿刺肥胖多学科护理
endometrial cancerperipheral venous catheter punctureobesitymultidisciplinary nursing
王晶, 袁江静, 王玉东. 2022欧洲肿瘤内科学会《子宫内膜癌临床实践指南》解读[J]. 中国实用妇科与产科杂志, 2022, 38(8): 827-829.
WANG J, YUAN J J, WANG Y D. Interpretation of 2022 European Society for Medical Oncologyclincal practice guideline for endometrial carcinoma[J]. Chin J Pract Gynecol Obstet, 2022, 38(8): 827-829.(in Chinese)
MAO W P, WEI S M, YANG H, et al. Clinicopathological study of organ metastasis in endometrial cancer[J]. Future Oncol, 2020, 16(10): 525-540.
李博, 林杰. 肝脏三维重建技术较传统CT成像技术对肿瘤体积可提供更准确的术前评估[J]. 中国组织工程研究, 2020, 24(11): 1726-1732.
LI B, LIN J. Three-dimensional liver reconstruction provides a more accurate preoperative assessment of tumor size than traditional CT imaging technique[J]. Chin J Tissue Eng Res, 2020, 24(11): 1726-1732.(in Chinese)
中华医学会影像技术分会医学影像护理专委会. 影像增强检查静脉输注工具规范应用专家共识[J]. 中国医疗设备, 2021, 36(3): 1-5.
The branch of medical imaging technology branch of medical imaging nursing.Expert consensus on standardized application of intravenous infusion tools for enhanced imaging medical imaging nursing committee of Chinese society of imaging technology[J]. China Med Devices, 2021, 36(3): 1-5.(in Chinese)
夏黎明. 肿瘤患者CT增强扫描安全管理专家共识[J]. 放射学实践, 2017, 32(6): 550-555.
XIA L M. Expert consensus on safety management of enhanced CT scanning in tumor patients[J]. Radiol Pract, 2017, 32(6): 550-555.(in Chinese)
KALRA M K, BECKER H C, ENTERLINE D S, et al. Contrast administration in CT: a patient-centric approach[J]. J Am Coll Radiol, 2019, 16(3): 295-301.
武杰, 杨金超, 刘焱. 心血管介入碘对比剂使用管理护理专家共识[J]. 中国循环杂志, 2021, 36(7): 625-633.
WU J, YANG J C, LIU Y. Nurse expert consensus on management of iodine contrast media application in cardiovascular intervention[J]. Chin Circ J, 2021, 36(7): 625-633.(in Chinese)
毛燕君, 张素, 张红梅. 含碘对比剂静脉外渗护理管理实践指南[J]. 中华护理杂志, 2021, 56(7): 1008.
MAO Y J, ZHANG S, ZHANG H M. Clinical practice guideline for nursing management of iodinated contrast media extravasation[J]. Chin J Nurs, 2021, 56(7): 1008.(in Chinese)
李雪, 郑淑梅, 屈梅香. 影像科碘对比剂输注安全专家共识[J]. 介入放射学杂志, 2018, 27(8): 707-712.
LI X, ZHENG S M, QU M X. Expert consensus on the safety of iodine contrast agent infusion in imaging department[J]. J Interv Radiol, 2018, 27(8): 707-712.(in Chinese)
徐金影.心理护理在CT增强扫描中的应用意义探讨[J].心理医生, 2018.
XU J Y. Discussion on the application significance of psychological nursing in enhanced CT scanning [J]. Psychologist, 2018.
鲁小茹. 细节护理对增强CT扫描患者扫描前心理情绪、护理满意度及图像质量的影响[J]. 临床医学研究与实践, 2018, 3(22): 165-166.
LU X R. Effect of detailed nursing on mental emotion before scanning, nursing satisfaction and image qualityin patients with enhanced CT scan[J]. Clin Res Pract, 2018, 3(22): 165-166.(in Chinese)
张润梅, 张才慧, 张珊, 等. 风险管理在冠状动脉血管成像检查中的应用[J]. 中国药物与临床, 2019, 19(12): 2092-2094.
ZHANG R M, ZHANG C H, ZHANG S, et al. Application of risk management in coronary angiography[J]. Chin Remedies Clin, 2019, 19(12): 2092-2094.(in Chinese)
方敏, 杨艳兵, 华绪文, 等. 低剂量碘对比剂联合低管电压MSCT扫描技术在肝脏血管成像中的作用[J]. 福建医药杂志, 2020, 42(6): 69-71.
FANG M, YANG Y B, HUA X W, et al. The role of low dose iodine contrast agent combined with low tube voltage MSCT scanning technology in hepatic angiography[J]. Fujian Med J, 2020, 42(6): 69-71.(in Chinese)
陈秀玲. 护理配合对腹部CT增强检查图像质量的影响分析[J]. 功能与分子医学影像学(电子版), 2019, 8(3): 1702-1704.
CHEN X L. An evaluation on the effect of nursing cooperation on the image quality of enhanced abdominal CT examination[J]. Funct Mol Med Imag Electron Ed, 2019, 8(3): 1702-1704.(in Chinese)
孙淑梅, 高莹, 许海燕, 等. 正电子发射型计算机断层扫描仪/计算机体层扫描检查联合CT定位行强化放疗患者的护理[J]. 解放军护理杂志, 2015, 32(6): 52-53, 58.
SUN S M, GAO Y, XU H Y, et al. Nursing of patients with PET-CT examination combined CT positioning reinforce line radiation[J]. Nurs J Chin People’s Liberation Army, 2015, 32(6): 52-53, 58.(in Chinese)
蒋妮, 邱燕, 蒋蕾, 等. 一线专科护理管理中创新落地: “提高CT定位肿瘤穿刺活检成功率”[J]. 中国护理管理, 2018, 18(S1): 95-97.
JIANG N, QIU Y, JIANG L, et al. Innovation in nursing management of front-line specialties—“Improving the success rate of CT-located tumor puncture biopsy”[J]. Chin Nurs Manag, 2018, 18(S1): 95-97.(in Chinese)
朱叶春, 张琼, 李蕾, 等. 多学科团队护理模式在急诊脑卒中患者中的应用[J]. 齐鲁护理杂志, 2020, 26(11): 83-85.
ZHU Y C, ZHANG Q, LI L, et al. Application of multidisciplinary team nursing model in emergency stroke patients[J]. J Qilu Nurs, 2020, 26(11): 83-85.(in Chinese)
ISAAC S. Contrast-induced nephropathy: nursing implications[J]. Crit Care Nurse, 2012, 32(3): 41-48.
HU C L, FENG Y E, HUANG P T, et al. Adverse reactions after the use of SonoVue contrast agent: characteristics and nursing care experience[J]. Medicine, 2019, 98(44): e17745.
黄莹. 细节护理干预模式对增强CT扫描患者扫描前心理状态影响研究[J]. 影像研究与医学应用, 2020, 4(16): 240-241.
HUANG Y. Study on the influence of detail nursing intervention mode on the psychological state of patients before enhanced CT scanning[J]. J Imag Res Med Appl, 2020, 4(16): 240-241.(in Chinese)
王晓娜, 冯锟, 罗丽珊. 目的针对性护理对CT增强扫描患者的影响[J]. 中外医学研究, 2021, 19(5): 119-122.
WANG X N, FENG K, LUO L S. Influence of objective targeted nursing on patients with enhanced CT scan[J]. Chin Foreign Med Res, 2021, 19(5): 119-122.(in Chinese)
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