Research Assembling
Risk factors and nursing intervention for pneumothorax in performing CT-guided radioactive 125I seed implantation in patients with lung cancer
Panfeng Wang, Yuan Lei, Xiuru Hu, Yuanyuan Long, Songbo Wu, Yuliang Jiang, Junjie Wang
Published 2017-03-16
Cite as Chin J Mod Nurs, 2017, 23(8): 1109-1112. DOI: 10.3760/cma.j.issn.1674-2907.2017.08.018
Abstract
ObjectiveTo explore the risk factors and nursing intervention for pneumothorax in performing CT-guided radioactive 125I seed implantation in patients with lung cancer.
Methods40 patients with lung cancer who performed CT-guided radioactive 125I seedimplantation from January 2014 to November 2015 were included in the study. The retrospective analysis was used and the participants were hospitalized either in Peking university third hospital or in Hebei Cangzhou hospital of integrated traditional Chinese and western medicine.
ResultsAfter the implantation, seven patients had implantation including five mild cases and two moderate cases. Six patients got better after the implantation (i.e. five of them had no obvious clinical symptoms and one of them had chest distress and cough) . One case had hemothorax combined with chest distress and cough, but got better after air extraction and closed thoracic drainage.
ConclusionsThe risk factors for pneumothorax in performing CT-guided radioactive 125I seed implantation may include the type and location of the lesion and the number of puncture times. The important factors for preventing the incidence of pneumothorax may include preoperative analysis of the type and location of lesions, reducing thepuncture times, less harm for pleural layers, and reasonable needlepoint. The major nursing strategies to prevent pneumothorax include preoperative evaluation and health education, cooperate with the doctors during the operation, and close observation of patients'postoperative symptoms.
Key words:
Lung Neoplasms; Iodine radioisotopes; Pneumothorax; Nursing care
Contributor Information
Panfeng Wang
Department of Radiation Oncology, Peking University Third Hospital, Beijing 100191, China
Yuan Lei
Department of Radiation Oncology, Peking University Third Hospital, Beijing 100191, China
Xiuru Hu
Department of Oncology, Hebei Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Cangzhou 061001, China
Yuanyuan Long
School of Nursing, Peking University, Beijing 100191, China
Songbo Wu
Department of Radiation Oncology, Peking University Third Hospital, Beijing 100191, China
Yuliang Jiang
Department of Radiation Oncology, Peking University Third Hospital, Beijing 100191, China
Junjie Wang
Department of Radiation Oncology, Peking University Third Hospital, Beijing 100191, China