Ovarian cancer is female genital one of common tumour, cure is given priority to with operation excision, but as a result of ovarian cancer inchoate lack diagnoses a method effectively, arrived terminal, operation effect often not beautiful. Some expert carries out the aneurism inside Qia of classics skin puncture for patient of 41 ovarian cancer the area changes cure method, obtained favorable near future result.
1. Remedial method
Hematic convention is made before ① art, give cruor time, sternum, electrocardiogram, 10 Mg of Xi Pan of ground of intramuscular injection of the 30 Min before lab of B of superior grade checks; art, when if choose to arrange platinum,changing cure, to hydrate of vein of the travel after art is treated.
② makes a patient smooth lie to go up at operating-table, equipment skin (groin and perineal ministry) , expose operation place adequately, build vein gateway, via spile of leather puncture arteria femoralis, make celiac aorta first - bone artery radiography, make again bilateral radiography of the artery inside Qia.
Bi dissolve of the soft 50 Mg that compare a star injects at 5% dextrose in fluid 60 Ml, arrange platinic 60 Mg, 400 Mg of amine of annulus phosphor acyl parts dissolve undertakes intervening changing cure via the artery inside tracheal Qia after the dilute in 60 Ml of solution of 0.9% sodium chloride.
If need bilateral the artery inside Qia changes cure, after can dividing afore-mentioned medicaments into two, do bilateral inject. In operation process, notice heart report is guarded, observe the metabolic condition that patient life style imposes.
The patient after ③ operation completes needs absolutely lie in bed to rest, puncture place sandbag is oppressive 6 H, 24 H of apply the brake of intubate side lower limbs, notice puncture orders haemorrhage case, artery of art side sufficient back and circumstance of skin colour and lustre and lower limbs have without aching phenomenon.
And vein drop notes sodium thiosulfate 4 G/m2 with fluid of alkalify make water, make patient make water is measured > 150 Ml/h.
2. After remedial effect is treated through 3 period of treatment, symptom of 41 bellyacke, abdominal distension, ascites disappears, b exceeds an examination 35 bump are contractible. Among them PR16 exemple, MR19 exemple.
3. Harmful response reachs measure
① is being pushed note Bi soft in the process that compares a star, have tide of 7 patients occurrence complexion red, dazed, flustered, perineal ministry is prickled wait for a symptom, via sucking the inject inside oxygen, conduit 2% lidocaine 50 Mg, decelerate the speed that promote drug, the symptom makes an appointment with 10 Min to disappear.
② happening puncture nods haemorrhage 1.
③ appears 2 times bellyacke, disgusting, vomiting, note Angdanxi via pushing ketone 8 Mg, cooperate close inside pinprick, close cereal, sufficient 3 lis, the symptom after 1 H alleviates.
④ appears after an art flustered, bosom is frowsty, careful report custody, suck the cure such as cardiac muscle of oxygen, nutrition, the symptom after 48 H disappears.
⑤ the bellyacke after 2 art, 12 H make water measures <800 Ml, give Fu 20 Mg of rice of a place of strategic importance, iv, compensatory liquid is measured, make make water is measured > 150 Ml/h. 3 discussion Gao Nong spends anticarcinogen content direct infuse tumour offers hematic artery, can increase concentration of medicaments of cancerous kitchen interior, the person that chroma of the medicaments inside kitchen of cancer of the person that drug gives inside its artery gives drug than systemic vein is 8.9 times taller, compare the person that drug gives inside abdominal cavity 8.6 times taller.
4. Experience
Classics tumour offers blood cure is changed inside artery, be helpful for heightening curative effect, shorten period of treatment. After drug giving inside artery, 0.009 what drug gives for vein to medicine inside the medicaments titer artery of blood of the week outside the corresponding period, 0.27 to drug gives inside abdominal cavity.
Concentration of the medicaments inside the tumour when drug giving inside artery accordingly is high, hold time is long, and systemic poisonous side effect is small, symptom of disgusting, vomiting is less than the whole body to give drug apparently after art. Intervene the curative effect that change cure is tall, side effect is little, the patient is happy to accept, widened for patient of terminal and ovarian cancer remedial channel.
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(the exercitation edits: Chen Junqi)
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