胰腺癌是一种具有高度侵袭性的肿瘤,嗜神经生长是胰腺癌的重要生物学特点,其对神经的侵犯给患者带来极大的疼痛负担,严重影响患者生存质量和生存意志。世界卫生组织(World Health Organization,WHO)癌痛“三阶梯镇痛原则”是传统治疗癌...胰腺癌是一种具有高度侵袭性的肿瘤,嗜神经生长是胰腺癌的重要生物学特点,其对神经的侵犯给患者带来极大的疼痛负担,严重影响患者生存质量和生存意志。世界卫生组织(World Health Organization,WHO)癌痛“三阶梯镇痛原则”是传统治疗癌性疼痛的治疗方案,但由于其毒副作用明显、疗效差、易成瘾、易耐药以及医师临床用药不规范等因素,无法满足患者病情需要。近年来,随着介人技术的发展以及广泛的临床试验的开展,介入作为癌痛管理的“第四阶梯”,其治疗手段以及各种影像引导方式的发展与应用,如神经毁损术、^(125)I粒子植入术、患者自控镇痛泵技术、鞘内药物输注系统植入术等,临床疗效得到了有力证明,为癌痛患者提供了方便、安全、有效的治疗方式。展开更多
Summarized a case of intraoperative nursing experience in a second-trimester patient with mitral bioprosthetic valve destruction undergoing median mitral valve technique with zero contrast agent.In this case,a patient...Summarized a case of intraoperative nursing experience in a second-trimester patient with mitral bioprosthetic valve destruction undergoing median mitral valve technique with zero contrast agent.In this case,a patient with 18 weeks of intrauterine pregnancy after artificial insemination,who had a sudden palpitation,was sent to the hospital in an emergency and diagnosed with severe intravalvular regurgitation and severe pulmonary hypertension after mitral artificial biological valve replacement.A treatment plan was developed after the systematic and comprehensive evaluation of the condition of the patient under a multi-disciplinary combination.Intraoperative nursing cooperation,patient condition monitoring,fetal X-ray protection,prevention of massive bleeding,sudden arrhythmia,and other emergency rescue cooperation were implemented in the processing of surgery,and no intraoperative nursing complications occurred.The patient recovered and was discharged from the hospital.The pregnancy was terminated by cesarean section after full term and the newborn survived with no deformity.展开更多
文摘胰腺癌是一种具有高度侵袭性的肿瘤,嗜神经生长是胰腺癌的重要生物学特点,其对神经的侵犯给患者带来极大的疼痛负担,严重影响患者生存质量和生存意志。世界卫生组织(World Health Organization,WHO)癌痛“三阶梯镇痛原则”是传统治疗癌性疼痛的治疗方案,但由于其毒副作用明显、疗效差、易成瘾、易耐药以及医师临床用药不规范等因素,无法满足患者病情需要。近年来,随着介人技术的发展以及广泛的临床试验的开展,介入作为癌痛管理的“第四阶梯”,其治疗手段以及各种影像引导方式的发展与应用,如神经毁损术、^(125)I粒子植入术、患者自控镇痛泵技术、鞘内药物输注系统植入术等,临床疗效得到了有力证明,为癌痛患者提供了方便、安全、有效的治疗方式。
基金Science and Technology Program of Guangzhou,China(No.202206010049)
文摘Summarized a case of intraoperative nursing experience in a second-trimester patient with mitral bioprosthetic valve destruction undergoing median mitral valve technique with zero contrast agent.In this case,a patient with 18 weeks of intrauterine pregnancy after artificial insemination,who had a sudden palpitation,was sent to the hospital in an emergency and diagnosed with severe intravalvular regurgitation and severe pulmonary hypertension after mitral artificial biological valve replacement.A treatment plan was developed after the systematic and comprehensive evaluation of the condition of the patient under a multi-disciplinary combination.Intraoperative nursing cooperation,patient condition monitoring,fetal X-ray protection,prevention of massive bleeding,sudden arrhythmia,and other emergency rescue cooperation were implemented in the processing of surgery,and no intraoperative nursing complications occurred.The patient recovered and was discharged from the hospital.The pregnancy was terminated by cesarean section after full term and the newborn survived with no deformity.
