Goto Setsuko, Mori Machiko, Fukaya Youko, Nakamura Keiko
Department of Nursing Science, Nagoya University School of Health Sciences.
Nihon Rinsho. 2003 Jun;61(6):943-8.
Combination chemotherapy for leukemia develops bone marrow suppression. Infection or hemorrhage disorders the treatment, and may influence the clinical result. The caring staff must understand the pathology of bone marrow suppression. Visitors observe the hospital rules. Foods are also limited, city water and uncooked foods are prohibited. To keep oral cavity clean, pretreatment of some decayed teeth, and frequent gargling with sterilized water are needed. Defecation control is important. Sitz bath or shower toilet is helpful. Hand cleaning is essential for before a meal, after defecation and after a going out. Bathing is fundamental to cleaning body. No bathing is dirty. Medical catheters are checked up every day. Thrombocytopenia(< 30,000/microliter) develops a spontaneous bleeding. Severe thrombocytopenia(< 10,000/microliter) does a fatal organ bleeding.
白血病联合化疗会导致骨髓抑制。感染或出血会干扰治疗,并可能影响临床结果。护理人员必须了解骨髓抑制的病理情况。访客需遵守医院规定。饮食也受到限制,禁止饮用城市自来水和食用生食。为保持口腔清洁,需要对一些龋齿进行预处理,并经常用消毒水漱口。控制排便很重要。坐浴或使用坐式马桶会有所帮助。饭前、便后及外出后洗手至关重要。洗澡是清洁身体的基本方式。不洗澡是不卫生的。每天都要检查医用导管。血小板减少症(<30,000/微升)会引发自发性出血。严重血小板减少症(<10,000/微升)会导致致命的器官出血。