1例扁桃体癌患者放化疗后大出血的护理体会

Nursing experience of massive hemorrhage after radio-chemotherapy in one patient with tonsil carcinoma

本文总结了1例扁桃体癌患者放化疗后大出血的护理体会。在全面评估的基础上做好扁桃体大出血的抢救配合和病情观察,并给予心理干预。为患者制定个体化口腔黏膜保护和护理措施,以超声雾化吸入替代常规漱口,促进药物吸收,加快口腔黏膜修复,并以改良的口腔冲洗法替代一般的口腔护理,保持口腔清洁。患者顺利度过出血期,口腔黏膜反应得到控制,最终完成放疗计划,顺利出院。

This paper summarized the nursing experience of massive hemorrhage after radiochemotherapy for one patient with tonsil carcinoma. The tonsil hemorrhage was rescued and the disease status was observed based on a comprehensive assessment on the patient. And the psychological intervention was carried out. The oral mucosa protection plan was made through individualized nursing measures according to the situation of patients. The ultrasonic atomizing inhalating was carried out to promote drug absorption,accelerate the repair of oral mucosa. Moreover,modified oral rinse method instead of the general ones was used to keep the mouth clean. Ultimately bleeding and mucosal reaction were under control and radiotherapy was accomplished.