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目的:探讨肿瘤全身热疗的安全应用。方法:对43例恶性肿瘤患者行全身热疗,体内控制温度为40.0℃,上体表控制温度为43.0℃,恒温时间为120min,控制射频功率100 W-400W;分析治疗中发生的不良反应及其原因。结果:43例病人中,有2例未做完治疗,约占4.65%,其中1例因病人无法长时间仰卧和呼吸困难,1例病人心率160次/min、意识模糊,而停止治疗。已经做完的41例中,有2例出现烫伤,约占7.32%,1例为背部两侧肩胛区烫伤形成水泡,1例在腰部。结论:大多数肿瘤病人体质较弱,长时间置于高热状态,病人会感到不适甚至存在一定的危险性,掌握好全身热疗的适应症、禁忌症和注意事项等,对减少不良反应的发生有重要的帮助。
Objective: To investigate the safety of tumor hyperthermia. Methods: Thirty-three patients with malignant tumor underwent systemic hyperthermia. The control temperature in vivo was 40.0 ℃, the upper body surface temperature was 43.0 ℃, the constant temperature time was 120 min, and the RF power was controlled at 100 W-400W. The adverse reaction The reason. Results: Of the 43 patients, 2 patients did not finish treatment, accounting for 4.65%. One patient died of uncontrollable supine and dyspnea for a long time. One patient had a heart rate of 160 beats / min, and the treatment was stopped. Of the 41 cases that have been completed, 2 cases were scalded, accounting for 7.32%. One case was blistering scalds on both sides of the back and 1 case was at the waist. Conclusion: Most of the cancer patients have weaker physique, prolonged exposure to high fever, the patient will feel uncomfortable and even some risk, master the indications of systemic hyperthermia, contraindications and precautions, to reduce the occurrence of adverse reactions There is important help.