En 肝脏肿瘤射频消融术知情同意书

En 肝脏肿瘤射频消融术知情同意书

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时间:2019-09-18

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1、ModernHospitalGuangzhouInformedConsentofPercutaneousradiofrequencyablationforLiverTumorPatientname:Sex:Age:CaseNo:BriefdescriptionofdiseaseandtreatmentrecommendationsIamawarethatIhavebeendiagnosedwithandrecommendedtoundergopercutaneousradiofrequencyablationforlivertumoru

2、nderanesthesia.Hepatictumormeanstumorlocatedinliver,whichconsistsofbenigntumorandmalignanttumor.Malignanthepatictumormainlyincludesprimaryhepaticcarcinomaandsecondaryhepaticcarcinoma.Mainclinicalsymptomsare:hepaticregiondiscomfortinrightupperquadrant,pain,weaknessofwhole

3、body,lossofappetiteandemaciation.Whencancerdevelopsintomid-termandadvancedstage,thepatientwillhaveenclosedmassintheupperabdomen,abdominaldistension,feveranddiarrheaetc.Inseverecases,patientmighthaveuppergastrointestinalhemorrhage,ascites,jaundice,hepaticencephalopathyand

4、ruptureandbleedingoflivercanceretc.Percutaneousradiofrequencyablationforlivertumorisafrequentlyappliedmethodtotreathepatictumorinrecentyears.Theadvantagesofthismethodareeasyoperation,shortoperativetime,slightdamagetoliverandslighteffecttoliverfunctionandotherorgan’sfunct

5、ion.Therapeuticeffectfortumorisrelativelybetter.Tumorwhosediameterisnotsobigcanmaintainlongtermremissionafterseveraltreatments.Accordingtodocumentaryreport,longtermeffectoftreatingsmallhepatocellularcarcinomabyradiofrequencyablationissimilartosurgery;however,thedamagetol

6、iverisveryslight.Sothismethodisappropriateforthosepatientswithbothlivercancerandlivercirrhosisorthosepatientswithbadliverfunctionandlivercancer.OthersPotentialrisksandhandling:Ihavebeeninformedofthefollowingpossiblerisksofpercutaneousradiofrequencyablationforlivertumor.H

7、owever,certainuncommonrisksarenotincludedhereinto.Themethodofsurgeryshouldbeindividualizedbasedonmedicalcondition.IhavebeeninformedthatIamentitledtodiscusswithmyphysicianregardingthesurgeryandanyassociatedspecialquestions.1.Iunderstandthatallanestheticprocedurescarrypote

8、ntialrisks.2.Iunderstandthatalldrugsmightcauseunwantedsideeffects,includingmildsymptomssuchasnauseaandr

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