Esophageal cancer chemotherapy in recent years, the basic theory and the tumor mechanism of anticancer drugs in-depth study of emerging new anticancer drugs and treatment methods continue to improve, the chemical treatment of esophageal cancer has improved continuously, from the palliative treatment to radical treatment direction, the middle and late esophageal cancer patients with symptoms, some patients the tumor shrink, even disappear, their survival was significantly longer.
3.1 Chemotherapy of esophageal cancer indications
surgery or radiotherapy should not be in the stages of esophageal cancer patients.
preoperative chemotherapy before radiotherapy.
consolidation surgery or radiotherapy treatment and recurrence after surgery or radiotherapy of esophageal cancer patients.
high-dose radiotherapy after local lesions were not controlled.
expected survival time of about 8 weeks, heart, liver, kidney, bone marrow function was normal, semi-liquid diets can be hired.
3.2 Contraindications
frail, cachexia, Karnofsky score 50 points or less.
heart, liver and kidney dysfunction.
other complications of infection fever.
severe anemia, malnutrition, and low plasma protein were
with poor bone marrow function.
Chemotherapy of esophageal cancer (3) arterial chemotherapy of esophageal cancer and certification and control.
spinal cord injury: the anti-cancer drugs, contrast agents on spinal artery branch of the stimulus, or thromboembolism caused by intubation "dangerous artery" may present with numbness, weakness, paralysis or damage to segments of the following sensory impairments. First, the operator precautions skilled, non-ionic contrast agent used to prevent thrombosis, the formation of injury on the Pat-dehydrating agent used to reduce swelling as soon as possible, the application of vasodilators, hormones, vitamins.
thrombosis: To prevent thrombosis, intraoperative vascular access devices of all surface and cavity to be smooth, with a heparin saline soaked, it was argued preoperative oral enteric-coated aspirin.
puncture site hematoma: perfusion catheter to stop bleeding after drug allocate at least 15 minutes, and then the local pressure dressing, such as hematoma appears to be important to re-bandage to stop bleeding.
fever: strict disinfection and routine use of antibiotics per operation to prevent bacterial infection.