The nursing of the Pi afferent tumor realizes

The Pi afferent tumor(angiosarcoma) is one malignant tumor rare in kind, at 1879 beginning of years first report way, close 1999, the whole world totally the report way is 100.In April, 2006, my hospital accepts to cure a sufferer whom the after Shu pathologic confirmation is the Pi afferent tumor, through with meticulous care nursing, the sufferer turns for the better hospital discharge and realize a nursing now the report is as follows.
1.Medical history summary
Sufferer, female, 28 years old, because of tired unwell companion emaciated 7 months, discovering a belly pack the piece is 3 month remaining and hospitalize on April 12.Hospitalize a check-up:The Jian conjunctiva is pale, sclerotic coat light degree Huang Ran, the left top stomach limits sex Peng Long, can touch height swollen big spleen, descend a pole exceed the Qi horizon following 5 cms, the quality is hard, the surface is smooth, can touch manies knot stanza, have no obviously press a pain.The B super check:The spleen fills the air sex swollen big, the inner part delivers solid sex lump more, the Pi vein increases breadth, the Pi surroundings a little amount stomach water, the liver, gall bladder, pancreas and double kidney didn't see unusually.Blood normal regulations:WBC5.9 ×s are 109 Ls, the N is 68%, the L is 19.5%, RBC2.27 ×s are 1012 Ls, HGB75 gL, PCT23 ×s are 109 Ls, the total Dan red vegetable is 35.5 μ molsL, the direct Dan red vegetable is 17 μ molsL, indirect Dan red plain 18.46 μ molsesL.On April 14 at all numb under go Pi resection, see spleen huge in the Shu, is infringed upon by the whole tumor organization, under carry to the Qi next 5 cmses, the spleen surface presents to knot stanza-like in shape Tu to rise and assumes dark red, the quality is hard, with around organize a light degree to glue connect, the liver appearance, size is normal, the quality is soft, didn't transfer knot stanza and cut off spleen specimen size about the 32.5 cm × 19 cm × 16.5 cms'the weight reach to 2540 gs.The pathology diagnoses after the Shu:The spleen afferent tumor.The sufferer distinguishes to reexamine blood normal regulations on April 22 and on the 24th, blood platelets is 582 the ×s are 109 Ls, 655 the ×s are 109 Ls, Be cured by anti- Ning wood of heparin, China method, reexamine blood platelets to decline to on May 7338 the ×s are 109 Ls, the amendment gets out of the hospital on May 8.
2.Nursing
2.1 before the Shus nursing
2.1.1 mental nursings
Work well a mental nursing'sufferer for the young female'contain to fear to the surgical operation treatment, anxious emotion.First nurse should with passionate attitude accolade patient, use the area environment that the warm language introduces a responsibility nurse, doctor and disease to acquire the sufferer's trust, use popular the language easily understanding explain the necessity and importance of surgical operation to the sufferer.Make its to build up won paroxysm confidence by solid example to the safety of its elucidation surgical operation.
The preparation of 2.1.2 Shu area skins
The Shu area keeps to sweep'avoid a scoring while having skin'BE been infected with decrease of opportunity.
2.1.3 prevent°from Pi blowout
The sufferer wants to avoid knocking and break, falling wound, decrease activity, the in order to prevent makes Pi broken.If appear blood pressure to descend, the vein presses bad diminish, belly ache, press pain, anti- jump a pain, should make collective report a doctor in time, vigilance occurrence Pi break.
2.1.4 the pipings prepare before the Shus
The Shu evening before last gives soap water infuse bowel'prepare by carrying on a bowel way'give to put a stomach tube and put an urine tube before the Shu.
After 2.2 Shus nursing
2.2.1 general nursings
The Shu goes to Zhen behind even lie'the head is partial to one side'give oxygen inhalation'monitor the life body advertise for variety.The sufferer is completely awake behind'can adopt half seat'slice by easing a people's tension'soothe ache'and be advantageous to breath.
2.2.2 lead to flow a tube nursing
Keep to lead to flow to take care of lucid'prevent°from leading to flow a tube is press, distorted, carefully fix, shed off while prevent°froming turning over a body.The observation leads the color, quality and quantity of flowing the liquid, if make collective report a doctor in time when leading to bleed sex liquid is more, give homologous processing.
2.2.3 food nursings
The Shu encouraged a sufferer to descend a bed activity in early days behind'with the instauration that helped the bowel to wriggle.Stomach and intestines after wriggling the instauration'can enter liquid substance food'transfer half liquid substance and Pu gradually food.
The variety of 2.2.4 observation blood plateletses
Want to periodically check blood normal regulations after the Shu'after the general Shu 7 day, the blood platelets reaches most high peak'attention observation the sufferer has already had no headache, the stomachache, body swells, in order to prevent stop bleeding to bolt formation, cause to bolt to fill.
3.Discuss
The Pi afferent tumor is one malignant tumor rare in kind'malignant degree Gao'prepare to differ behind, exist term short.Want to keep external injury from causing Pi to be broken before the Shu, exist term by extension.Work well conservative cure an airtight work, while working well a sufferer mental nursing, also need to work well the family members' mental nursing, make the sufferer able to feel care and love, actively face a life.