腫瘤惡臭傷口之照顧

癌症末期病患出現的惡性腫瘤潰傷口是一種無法癒合的傷口。惡臭、大量滲液及出血則是惡性腫瘤潰瘍傷口最常見的三大特性，其中又以濃重的惡臭味所帶給病患、家屬及工作人員的壓力及困擾最多；此個案為41歲頰黏膜鱗狀上皮細胞癌症末期的男病患，右頰處有10×15公分的腫瘤潰瘍惡臭傷口，在屏東某地區醫院內科病房，除了接受護理人員一般性抗生素外用濕敷的傷口護理照顧，加上緩和性放射線治療及使用極電式光催化設備，讓個案在住院後的五天內，惡臭傷口由重度惡臭降低至無惡臭味，腫瘤潰瘍分泌物傷口也變得乾燥結痂，使得面貌原本浮腫難看、異味甚重、自慚形穢的封閉個案，在臭味去除及傷口逐漸乾燥癒合中開始願意接納家人的關心，接受醫療人員的治療安排，主動積極地走出病房，以親身經驗分享去鼓勵其他病友接受正規治療，也讓原本已經想放棄治療自己的個案，重新對生命意義及自我價值有了正向的認知與提昇。

關鍵字

頰癌；惡臭；腫瘤潰瘍傷口；極電式光催化設備

並列摘要

The ulcerative fungating wound of malignant tumors in the terminally ill patients is a type of non-healing wound. Bad odor, profuse exudates and bleeding are the three most common of this kind of wound. Bad odor has especially given so much pressure and persecution to the families, medical staff and patient himself. Here we report a case of a 41-year-old male with terminal stage buccal cancer. Markedly Bad odor cannot be easily removed by common wet-dressing. This patient came from Pingtung Internal Dept of district hospital, and had a 10×15 cm2 malodorous ulcerative fungating wound over his right check. He received wet-dressing with antibiotics, and given palliative radiotherapy stayed in room installed with an aseptic photoelectric catalysis device. The severely malodorous ulcerative fungating wound became dry and odorless within 5 days of hospitalization. This made the malodorous, introverted person change to cooperative patient during the later healing process. He started to accept the concern of the families and was willing to received the therapy by medical staff. He also showed his own experience to encourage other patients to receive the same medical treatment. This shifted himself from a given-up case to refresh the meaning of his life and self-esteem, and had positive and promotion.

並列關鍵字

Buccal cancer ； malodorous ； fungating wound ； Photoelectric catalysis device

國際替代計量

腫瘤惡臭傷口之照顧

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