Massive liver cancer is a type of liver cancer. Many patients with massive liver cancer are already in the late stage when they are treated, and they have missed the best treatment time. Therefore, patients with massive liver cancer are under great threat. How to treat massive liver cancer? Clinically, the first treatment methods for massive liver cancer are surgery, radiotherapy, chemotherapy and traditional Chinese medicine. However, care before and after treatment is also very important. 1. Preoperative care for massive liver cancer 1. Psychological care Due to lack of understanding of surgery and high surgical costs, some patients have different psychological barriers. Family members should explain to patients the importance, safety, and superiority of treatment, inform them of the surgical treatment process and precautions, arrange for patients to have discussions with similar patients, and enhance their sense of security and confidence in dual interventional treatment. Psychological adjustment and counseling are of great significance in cancer patients' anti-cancer treatment. If the patient is in a more positive and relaxed state, the treatment effect will definitely be better than that of a depressed patient. 2. Preoperative education Inform the patient and family members of the surgery date, and ask the patient and family members to listen to the preoperative education content at the same time, so that the family members can have a clear idea of the postoperative situation when accompanying the patient after the operation, and inform them of the preoperative preparation content and postoperative precautions. 3. Preoperative preparation Understand the patient's condition and medical history in detail, and assist in various routine examinations, such as blood routine, liver function, prothrombin time, electrocardiogram, liver B-ultrasound, CT, etc. For those with poor liver function, liver protection treatment should be strengthened, and those with combined ascites should be given albumin supplementation and diuretic treatment. Dietary guidance should be strengthened, and they should be advised to eat a low-salt, high-protein, high-vitamin diet, such as eating more lean meat, fish, fresh vegetables, fruits, etc. II. Postoperative Care for Massive Hepatocellular Carcinoma Closely observe the patient's consciousness, pupils, and vital signs, and observe whether there is headache, nausea, vomiting, and limb movement. Take the supine position, raise the head of the bed appropriately according to the patient's comfort needs, and the angle should not exceed 30°. After the femoral artery puncture site is compressed with a sandbag for 6 hours, the limb on the surgical side is kept in an extended position for 6 hours. For those who are not suitable for urination in bed, 2 hours after surgery, let the patient press the puncture point by themselves, and the nurse will assist in urination. After 6 hours, turn over to the healthy side. Except for the limb on the puncture side, other limb joints can be moved in bed, and you can get out of bed after 12 hours. After surgery, drink more water to facilitate the excretion of contrast agent. After 4 hours, you can eat semi-liquid or light and easily digestible food, avoid sweets and dairy products, so as to avoid excessive gas production and abdominal discomfort causing vomiting. |
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