PICC在肿瘤患者治疗中的应用及并发症分析 |
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引用本文: | 黎芳,陈璇,张秋香,王慰.PICC在肿瘤患者治疗中的应用及并发症分析[J].华夏医学,2013(5):939-942. |
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作者姓名: | 黎芳 陈璇 张秋香 王慰 |
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作者单位: | [1]湖南省第二人民医院急诊科,湖南长沙410005 [2]湖南省肿瘤医院手术室,湖南长沙410013 |
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摘 要: | 目的:对使用经外周置入中心静脉导管(PICC)肿瘤患者并发症的发生情况进行分析.方法:对PICC插管肿瘤患者的并发症进行归类分析,探讨影响PICC拔管的主要并发症.结果:300例使用PICC的患者中,PICC相关并发症125例(41.7%),其中28.3% (85/300)患者因为出现并发症而终止插管,在因并发症终止插管的患者中,介入放射组发生率为22.6% (38/168),静脉穿刺组发生率为35.6%(47/132),二者无差异.导致PICC拔管的感染风险显示血液系统恶性肿瘤发生感染的风险增加(P<0.05).结论:PICC在癌症患者中的应用伴有较高的并发症和感染率,对并发症的有效控制是其广泛应用的关键.
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关 键 词: | 经外周置入中心静脉导管 肿瘤 并发症 感染 |
Application of peripherally inserted central catheters to cancer patients and analysis of its complications |
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Institution: | LI Fang , CHEN Xuan , ZHANG Qiu-xiang , et al//Department of Emergency of Hunan Second People's Hospital, Changsha 410005, China |
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Abstract: | Objective: To analyze the incidence of complications of cancer patients treated by peripherally inserted central catheter (PICCs). Methods: Complications of PICC intubation patients were tigate the major complications caused by PICC extubation. Results: ICCs, there were 125 cases (41.7%) PICC related complications, of . patients suffered from the termination of intubation because of comf intusation among patients because of complications, the incidence Lterventional radiology intubation group was 22. 6% (38/168) and s puncture group, which were of no significant differences between of the infection risk caused by PICC extubation showed the infection hematological malignancies (〈%0.05). Conclusion: PICC applicare a high rate of complications and infection rate, and the effective the key to their wide applications. rate of 35.6% |
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Keywords: | peripherally inserted central cathete r (PICC) tumor complication in{ection |
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