摘要
目的探讨经皮射频消融(percutaneous radiofrequency ablation,PRFA)治疗肝细胞癌(hepatocellular carcinoma,HCC)导致大腿皮肤烧伤的原因,并提出相应的预防对策。方法收集2008年6月-2010年5月采用PRFA治疗HCC发生大腿皮肤烧伤16例患者的临床资料,并对发生大腿皮肤烧伤的原因进行分析。结果发生大腿皮肤烧伤的原因与下列因素有关:低蛋白及肝功能异常6例;合并糖尿病5例;癌灶范围大、射频时间长4例;PRFA过程监测不到位1例。结论提高患者营养状态、掌握好射频温度、正确粘贴电极板、PRFA过程加强观察和巡视能有效地降低大腿皮肤烧伤的发生率。
Objective To explore the causes of the skin burns of thigh resulting from the percutaneous radiofrequency ablation（PRFA） and to find corresponding prevention measures.Methods The data of 16 hepatocellular carcinoma（HCC） patients suffered from the skin burns of thigh caused by PRFA were carefully collected from June 2008 to May 2010.Furthermore,the causes of the skin burns of thigh were analyzed.Results The reasons for the skin burns of thigh were categorized as follows：low albumin and dysfunction of liver（6 cases）,diabetes（5 cases）,large tumor and long-time PRFA（4 cases） and inappropriate monitor during PRFA（1 case）.Conclusion The incidence of the skin burns of thigh can be effectively reduced by proper treatment,such as improving the nutritional status of patients,controlling the temperature during PRFA,correctly applying the grounding pads and strengthening the observation and inspection during PRFA.
出处
《现代临床护理》
2010年第9期22-23,56,共3页
Modern Clinical Nursing
关键词
经皮射频消融
肝细胞癌
皮肤烧伤
预防对策
radiofrequency ablation
liver cancer
skin burn
preventive measures
