一例CT引导3D打印模板辅助儿童眼眶胚胎型横纹肌肉瘤粒子植入的护理

A nursing case of ct-guided 3D printed template assisted seed implantation of rhabdomyosarcoma in children with orbital embryos

目的探讨儿童面部横纹肌肉瘤行放射性粒子植入治疗的护理对策。方法回顾性分析2018年2月于北京大学第三医院肿瘤放疗科收治的1例儿童眼眶胚胎型横纹肌肉瘤患者的诊疗及护理过程。结果患儿在接受治疗后出现了轻度伤口肿胀及疼痛表现,未发生颅内压增高、粒子移位、伤口出血感染、视力改变等急性期并发症。结论放射性粒子植入术前严格做好病情评估及术前准备,术中严密监测病情变化保障治疗体位安全,术后做好并发症观察及放射性防护指导是保证患儿顺利完成阶段性治疗的基础。

Objective To explore the nursing countermeasures of children with facial rhabdomyosarcoma treated by radioactive seed implantation. Methods Retrospective analysis was performed on the diagnosis, treatment and nursing process of a child orbital embryonal rhabdomyosarcoma admitted to the department of tumor radiotherapy, Peking University Third Hospital in February 2018. Results Mild wound swelling and pain occurred after treatment, and no acute complications such as increased intracranial pressure, particle displacement, wound bleeding and infection, or visual acuity change occurred. Conclusions Disease evaluation and preoperative preparation should be done strictly before the implantation of radioactive particles;changes of the disease should be monitored strictly during the operation to ensure the safety of treatment posture;postoperative complications observation and radiation protection guidance are the basis to ensure the smooth completion of the stage treatment of children.