肝癌介入治疗后“栓塞后综合征”的预防处理及临床观察

Clinical observation of treatment and prevention of embolization syndrome after interventional therapy in hepatocellular carcinoma

目的总结肝癌介入治疗后栓塞后综合征的发生发展规律,探讨其合理治疗原则。方法 763例肝癌病例,介入治疗均操作顺利。结果术后有栓塞后综合征表现者587例,约占76.9%。TACE治疗后表现为局部疼痛者455例、发热者369例、恶心呕吐者576例,分别约占59.6%、48.4%、75.5%。结论栓塞后综合征的预防处理原则是对症处理,全程预防。

Objective To explore the occurrence and development of embolization syndrome after interventional treatment.Methods 763 cases of liver cancer received interventional treatment smoothly.Results Embolization syndrome occurred in 587 cases,accounting for 76.9%.After TACE treatment,local pain occurred in 455 cases,fever in 369,nausea and vomiting in 576,accounting for 59.6%,48.4%,75.5% respectively.Conclusion The prevention principles for embolization syndrome are symptomatic treatment and monitor in entire process.