目的:针对原发性肝癌行经导管肝动脉化疗栓塞术(TACE)后的并发症,分析其原因,探讨其防治方法和护理措施.方法:92例原发性肝癌行TACE的患者,针对术后的常见并发症,总结其发生的原因,采取相应的预防护理措施.结果:92例患者无穿刺部位血肿发生,发热37例,腹痛59例,恶心呕吐23例.结论:有效的护理预防护理措施可明显减少或防止TACE术后并发症的发生.%Objective: To investigate the cause and treatment as well as prevention measures of rarely occurring severe complications after transcatheter arterial chemaetnbolization (TACE) for primary hepatic carcinoma.Methods: 48 consecutive patients with primary hepatic carcinoma underwent a total of 87 TACE procedures.All the patients who developed complications after TACE received imaging and biochemical examinations.The cause, treamrent and preventive measures of the complications in the 48 cases were analyzed.Results: Hematoma were found in 2 cases, fever in 38 cases, abdominal pain in 28 eases, nausea and vomiting in 4 cases.Conclusion: The rarely occurring complications after tranacatheter arterial chemoembolization for pirmary hepatic carcinoma is correlated with poor hepatic function and portal hypertension before therapy, overdose and reflux of chemotherapeutic agents or allotropic chemoembolism,etc.It can be reduced or prevented through careful selection of proper cases before the treatment,close observation, and protection of hepatic function and gastric mucosa after treatment.
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