本文選題：肝癌 + 動(dòng)脈化療栓塞　； 參考：《介入放射學(xué)雜志》2017年07期

【摘要】：目的評(píng)估肝癌TACE治療后發(fā)生低鉀血癥的風(fēng)險(xiǎn)因素,并根據(jù)危險(xiǎn)因素制定相應(yīng)的護(hù)理對(duì)策。方法回顧2014年8月—2015年2月救治214例肝癌行TACE的患者臨床資料,分析引起低鉀血癥的危險(xiǎn)因素。結(jié)果本組23例(10.7%)患者發(fā)生低鉀血癥,引起低鉀血癥主要危險(xiǎn)因素為:厭食、水化、嘔吐、放腹水、出汗。經(jīng)積極對(duì)癥處理后,22例(22/23,95.6%)血鉀恢復(fù)正常,1例出現(xiàn)肝性腦病昏迷、肝腎綜合征,家屬放棄治療自動(dòng)出院。結(jié)論厭食、嘔吐、水化、放腹水、出汗是TACE術(shù)后低鉀血癥的危險(xiǎn)因素。低鉀風(fēng)險(xiǎn)量表有利于制定護(hù)理對(duì)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.
【作者單位】： 溫州醫(yī)科大學(xué)附屬第一醫(yī)院介入科;
【基金】：浙江省自然科學(xué)基金(LY16G02001)
【分類號(hào)】：R473.73

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