Complications
Treatment
Systemic reactions
1.Most patients with mild reactions do not need treatment;
2.Patients with severe reactions should be given symptomatic treatment and supportive therapy.
Blood routine abnormalities
1.White blood cells less than 3 × 109/L, platelets less than 70 × 109/L
2.Suspend radiotherapy
3.Prevent various kinds of injuries and prevent the occurrence of bleeding.
4.Blood-raising therapy, such as leukocyte-raising drugs shark’s liver alcohol, blood-supporting drugs, vitamin B4;
5.If there is a risk of infection, granulocyte colony factor can be applied, such as Wheeler blood.
6.Component blood transfusion or fresh whole blood transfusion can also be used.
Radiation skin reaction
1.Pay attention to skin care during radiotherapy;
2.Grade-I radioactive skin reaction, generally do not need to deal with;
3.Degree II~III skin reactions can be treated with topical hydrogen oil and topical drugs to promote epidermal growth;
4.Screen reactions of degree III should be closely observed and radiotherapy should be stopped if necessary.
Radioactive cerebral edema
1.The application of corticosteroids and dehydrating drugs is the main measure for prevention and treatment.
Acute radiation parotitis
1.The key is prevention. Before radiotherapy, inform patients to try not to eat foods that cause increased saliva secretion several times before treatment, which can be avoided;
2, symptomatic treatment.
Radioactive oral mucositis
1, maintain oral hygiene at the same time, symptomatic treatment;
2.Severe cases of anti-infection treatment;
3.For those who cannot eat, nasal feeding or intravenous fluid supplementation to ensure the body’s nutritional supply;
4.Suspend radiation therapy if necessary.
Radiation esophagitis
1.Mild cases should be observed;
2.Symptomatic treatment for severe cases, application of analgesia, local anesthesia, antibiotics and aluminum thioglycollate, etc;
3, severe pain can not eat, should be intravenous supplemental fluids to ensure the body’s nutritional supply.
Radiation cystitis
1, bladder irritation symptoms, with antibiotics and corticosteroids;
2, heavy cases should be treated surgically;
3, the best treatment is prevention, the use of three-dimensional appropriate radiation therapy to reduce the dose of bladder irradiation.
Radiation proctitis
1, pay attention to intestinal infections, oral or rectal administration of antibiotics;
2, diarrhea, abdominal pain symptoms are more serious, suspend radiation therapy.