Matsuzaki Hiroyuki, Takaki Mutsuo, Hayata Daishi
Dept. of General Surgery, Chigasaki Tokushukai Medical Center.
Gan To Kagaku Ryoho. 2006 Dec;33 Suppl 2:318-9.
Administration of outpatient chemotherapy cases at a community-based General Private Hospital such as ours has been increasing year after year. Therefore, we present a current status of cancer chemotherapy at the outpatient department of General Surgery in our hospital and to review the problems and solutions. There were 30 cases where our surgical department administered outpatient chemotherapy in March 2006. The required hospitalization during the chemotherapy enforcement was 2 cases where both of them were due to a progress of primary disease, but not from chemotherapeutic adverse drug reactions. Each department copes and handles outpatient chemotherapy because we do not carry an exclusive department dedicated to treat patients at our hospital. Therefore, various problems will arise along with the therapy. As a community-based General Hospital, we coordinated with relevant public sectors in order to fulfill a lack of human resources, and we found out that it was necessary to build a system that operates smoothly and administers safe outpatient chemotherapy.
在我们这样的社区综合私立医院,门诊化疗病例的管理逐年增加。因此,我们介绍我院普通外科门诊癌症化疗的现状,并审视其中存在的问题及解决办法。2006年3月,我院外科进行门诊化疗的病例有30例。化疗实施期间需要住院治疗的有2例,这两例均是由于原发疾病进展,而非化疗药物不良反应所致。由于我院没有专门负责治疗患者的独立科室,所以每个科室都在应对和处理门诊化疗。因此,治疗过程中会出现各种问题。作为一家社区综合医院,我们与相关公共部门协调以弥补人力资源的不足,并且发现有必要建立一个运作顺畅且能实施安全门诊化疗的系统。