1例输液港植入术后囊袋切口脂肪液化并血栓形成的护理

目的 探讨股静脉输液港植入术后囊袋切口脂肪液化及下肢静脉血栓形成的护理效果.方法 对1例因股静脉置入输液港后发生囊袋切口脂肪液化并血栓形成的肺癌患者,通过正确进行伤口评估、囊袋切口运用了湿性愈合及减痛换药的护理;同时动态观察右下肢静脉血栓及时进行下腔静脉滤网置入术的处理.结果 患者输液港囊袋伤口愈合良好,输液港拔出后未发生血栓脱落.结论 正确进行伤口评估,湿性愈合及减痛换药理论,使用适宜的敷料,进行有效的伤口护理,可减轻患者的痛苦,促进伤口愈合,有效防止并发症.

Nursing care for 1 case of pocket incision fat liquefaction complicated with thrombosis after transfusion port implantation

Objective To explore the nursing methods of fat liquefaction and lower limb vein thrombosis after the implantation of lower limb infusion port.Methods 1 patient with lung cancer who were placed transfusion port in the femoral vein was retrospectively reviewed.The fat liquefaction in the bag of the infusion port was evaluated;wet healing and pain reduction theory were applied;the fat tissue and foreign body were removed from the incision of the trimmed pocket;the wound was cleaned with medical biological colloid dispersing agent;the packing effusion was filled with Kanghui'er silver ion alginate;according to the seepage situation of the incision,the number of dressing changes was decided.The right lower extremity venous thrombosis and the placement of inferior vena cava filter net were observed.Results The wound healed well.No thromboembolism occurred after pulling out the transfusion port.Conclusion The correct evaluation of wound,wet healing and pain reduction theory,using appropriate dressing,and effective wound care can reduce the patients' pain,promote the patients' recovery,and prevent complications.