Nursing of radiofrequency ablation for adrenocortical adenoma with Cushing's syndrome combined steroid-induced diabetes mellitus: one case report
10.3760/cma.j.cn211501-20210319-00834
- VernacularTitle:一例B超引导下经皮射频消融治疗肾上腺皮质腺瘤库欣综合征合并类固醇糖尿病患者的护理
- Author:
Xiaodi GUO
1
;
Yanhua ZHU
;
Xiling HU
Author Information
1. 中山大学附属第三医院内分泌科，广州 510630
- Keywords:
Radiofrequency ablation;
Adrenocortical adenoma;
Cushing′s syndrome;
Diabetes mellitus
- From:
Chinese Journal of Practical Nursing
2021;37(35):2769-2773
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize experience of nursing in radiofrequency ablation (RFA) for adrenocortical adenoma with Cushing′s syndrome combined steroid-induced diabetes mellitus.Methods:The key of preoperative nursing was precise glucose control by using insulin pump. Focus on patients psychological intervention. It was important for closely monitor the change of blood pressure, cortisol levels and biochemical index to prevent acute complications such as adrenal crisis during RFA. Pay attention to postoperative nutrition management for reduce blood glucose fluctuation and adverse reactions of hydrocortisone at postoperative.Results:No severe complications occurred during this procedure. After twenty-day nursing and treatment, the patient′s blood glucose control was stable, and the symptoms related to Cushing′s syndrome gradually disappeared.Conclusion:The ultrasound guided radiofrequency ablation in adrenocortical adenoma with Cushing′s syndrome combined with steroid-induced diabetes mellitus was a feasible, safe, and minimally invasive treatment. The key to effectively reduce postoperative complications and ensure the success of the operation. Are adequate preoperative preparation and strict monitor.
