肝癌栓塞术后低钾血症的风险评估与护理对策研究

发布时间：2018-05-05 18:46

本文选题：肝癌 + 动脉化疗栓塞　；参考：《介入放射学杂志》2017年07期

【摘要】：目的评估肝癌TACE治疗后发生低钾血症的风险因素,并根据危险因素制定相应的护理对策。方法回顾2014年8月—2015年2月救治214例肝癌行TACE的患者临床资料,分析引起低钾血症的危险因素。结果本组23例(10.7%)患者发生低钾血症,引起低钾血症主要危险因素为:厌食、水化、呕吐、放腹水、出汗。经积极对症处理后,22例(22/23,95.6%)血钾恢复正常,1例出现肝性脑病昏迷、肝肾综合征,家属放弃治疗自动出院。结论厌食、呕吐、水化、放腹水、出汗是TACE术后低钾血症的危险因素。低钾风险量表有利于制定护理对策。
[Abstract]:Objective to evaluate the risk factors of hypokalemia after TACE treatment for hepatocellular carcinoma, and to formulate corresponding nursing strategies according to the risk factors. Methods the clinical data of 214 patients with TACE from August 2014 to February 2015 were reviewed and the risk factors of hypokalemia were analyzed. Results 23 patients with hypokalemia developed hypokalemia. The main risk factors of hypokalemia were anorexia, hydration, vomiting, ascites and sweating. After active symptomatic treatment, 22 cases (22 / 2395.6) had normal potassium recovery. 1 case had hepatic encephalopathy coma, hepatorenal syndrome, and family members gave up treatment and left the hospital automatically. Conclusion anorexia, vomiting, hydration, ascites and sweating are risk factors for hypokalemia after TACE. Low potassium risk scale is beneficial to nursing countermeasure.
【作者单位】：温州医科大学附属第一医院介入科;
【基金】：浙江省自然科学基金(LY16G02001)
【分类号】：R473.73

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