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目的 :观察 72例各型肝癌化疗药物栓塞术后副反应及并发症的发生情况及防治方法。方法 :采用Seldinger术经皮穿刺插管行选择性、超选择性肝A化疗栓塞术。结果 :肝区疼痛 36例(占 50 % ) ,术后发热 4 1例 (占 56 9% ) ,恶心呕吐 2 7例 (占 37 5% ) ,腹胀 2 8例 (占 38 8% ) ,粘膜病变 4 5例 (占 62 5% )上消化道出血 1例 (占 0 72 % ) ,ADM中毒 1例 (占 0 72 % )。结论 :粘膜病变是最常见的并发症 ,术中尽量超选择性操作是减少并发症的关键。
Objective: To observe the occurrence and prevention and treatment of side effects and complications of 72 cases of various types of hepatocellular carcinoma after chemoembolization. Methods: Seldinger percutaneous intubation with selective, super selective liver chemoembolization. Results: There were 36 cases (50%) of patients with liver pain, 41 cases (56 9%) of fever, 27 cases of nausea and vomiting (37.5%), 28 cases of abdominal distension (38.8% One case of upper gastrointestinal bleeding (0 72%) and ADM poisoned 1 case (0 72%) were found in 45 cases (62.5%) of the patients. Conclusion: Mucosal lesions are the most common complication. The key to reduce the complications is to super-selective operation during operation.