| 乳腺癌术后常见并发症的防治 |
| |
| 引用本文： | 谭明,刘力.乳腺癌术后常见并发症的防治[J].河北北方学院学报(医学版),2006,23(3):9-11. |
| |
| 作者姓名： | 谭明 刘力 |
| |
| 作者单位： | 天津市武清区人民医院,天津,301700 |
| |
| 摘 要： | 目的：探讨乳癌术后常见并发症的防治方法。方法：通过对2002．1-2005．3月122例实施乳癌根治术的病例资料进行回顾性分析总结。结果：皮下积液12例，皮瓣坏死6例；上肢淋巴水肿6例。少量积液一般不需要处理，积液大于5ml每天可抽吸，然后加压包扎，积液量〉50ml时可拆除1针缝线或切开放置引流管，时间最长达半个月。皮瓣坏死〈3cm，行换药处理；〉3cm给予切痂、植皮处理。上肢淋巴水肿轻中度水肿不需特殊处理，重度水肿进行上肢功能锻炼，应用透热疗法后好转，所有患者均痊愈出院。结论：手术前合理的设计切口，术中仔细操作，适当加压包扎，保持负压通畅，术后经常锻炼上肢功能，对于乳癌根治术后皮下积液、皮瓣坏死、上肢淋巴水肿的防治十分重要，可使乳癌术后并发症的发生降到最低，使乳癌患者继续进入下一步的综合治疗。
|
| 关 键 词： | 乳腺癌 并发症 防治 |
| 文章编号： | 1673-1484（2006）03-0009-03 |
Clinical Prevention and Treatment for Postoperation Complications of Mastectomy in Breast Cancer |
| |
| TAN Ming,LIU Li.Clinical Prevention and Treatment for Postoperation Complications of Mastectomy in Breast Cancer[J].Journal of Hebei North University:Medical Edition,2006,23(3):9-11. |
| |
| Authors: | TAN Ming LIU Li |
| |
| Abstract: | Objective:To investigate the prevention and treatment for complications after mastectomy.Methods:To make a retrospective analysis for the accumulative liquid of subcutanea and skin flap necrosis swell of the illed lateral upper arm in 122cases from January 2002 to March 2005.Results:In these patients,there were 12cases with accumulative liquid of subcutaneous,6cases with skin flap necrosis and 6cases with swell of the illed lateral upper arm.There was a little accumalated amount of liquid and generally did not need to be processed.Everyday it was sucked repeatedly when the accumulated liquid was more than 5ml,and then it was pressed and tied up.If the liquid was over 50ml,the needle suture could be tore down and cut to reset the drainpipe,the longest time was15days.Skin flap necrosis should be less than 3cm and the process was transition medicine dressing.If it exceeded 3cm,scrab should be cut and the skin should be reset.For swelling of upper lateral arm,light degree swelling didn't need treatment,but for severe degree of swelling the patients needed functional physical exercise and heat transparent treatment,and they could be cured.Conclusion:Reasonable designing the operation incision,careful operation,wrapping up with pressure and functional exercise are very important for treating subcutaneous liquid,skin flap necrosis and swelling of upper lateral arm.It can make the patient with breast cancer to have further treatment. |
| |
| Keywords: | Breast cancer Complication Prevent treat |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
