淺談肺動脈肉瘤與臨床照護

Nursing Care for Patients with Pulmonary Artery Sarcoma

10.6142/VGHN.28.4.329

葉郁文(Yu-Wen Yeh)；黃明輝(Ming-Huei Huang)

肺動脈肉瘤 ； pulmonary artery sarcoma

榮總護理

28卷4期（2011 / 12 / 01）

329 - 333

繁體中文

肺動脈肉瘤是一種罕見的惡性腫瘤，目前尚未建立一套確切的診斷治療流程。臨床症狀有呼吸困難、胸痛、心悸…等，嚴重時甚至會出現暈厥及猝死的狀況。因臨床症狀與肺血栓栓塞相似，並無特異性的臨床表現，所以早期確定診斷的機率很低，雖可以透過理學及電腦斷層檢查去推測病因，但是確認診斷仍須手術或行切片病理檢查，多數病人確診時常已發生腫瘤轉移。治療方式仍以手術切除為主，合併化學治療及放射線治療，但是預後差。術後急性期，護理重點與肺動脈栓塞切除術相似，後續之放射線及化學治療仍須持續其相關之護理照護；此病手術後才是腫瘤治療的開始，病人情緒影響個案對疾病的認知、接受度及對治療的配合度，因此，病人情緒抒發及支持是很重要的。期望藉由本文分享相關訊息與經驗，讓同仁未來於臨床上照護此疾病病人作為參考。

Pulmonary artery sarcoma is a rare tumor. The diagnostic and treatment approaches have remained unresolved. Clinical presentation includes dyspnea, chest pain, palpitations, syncope, sudden death and so on. Because clinical symptoms are similar to pulmonary thromboembolism, there is no specific clinical manifestation, so the chance of early diagnosis is very low. Although examination may extrapolate the cause of disease, the confirmation of diagnosis still depends on surgical pathology or biopsy. The majority of patients were found with tumor metastasis while diagnosis was being established. Treatment of choice is surgical excision, combined chemotherapy and radiotherapy, but the prognosis is poor. Nursing care focus is similar to that of post-pulmonary thrombectomy. Patients need chemotherapy and radiotherapy related care. Post surgery is the beginning of cancer treatment. Emotional expression and support of patient are very important, as they affect the disease awareness, acceptance and cooperation with treatment. Sharing of this literature reviews and experience, as well as nursing care about the disease are only for reference.