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Medical Diagnosis 2021
运用完全置入式静脉输液港的并发症及原因分析
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Abstract:
目的：分享我科静脉输液港使用经验，探讨置入式静脉输液港并发症及其原因。方法：回顾性分析我科2011~2017年运用静脉输液港进行乳腺癌化疗患者相关并发症，探讨发病原因及防治方法。结果：乳腺癌化疗患者共130名放置静脉输液港，共发生并发症9例(6.9%)，其中3例(2.3%)发生导管相关的血栓，1例(0.8%)导管头移位，1例(0.8%)静脉港座外露，2例(1.5%)导管脱落，2例(1.5%)放置失败。结论：静脉港是安全有效的治疗手段，其并发症发生率较低。无菌原则和医生及护理人员规范的操作可有效的减少并发症发生率。
Objective: To present our experience and clarify the complications of totally implantable venous access ports (TIVAP) and the risk factors for such complications. Methods: To analyze the compli-cations of breast cancer patients in our center who implanted TIVAP for chemotherapy from 2011 to 2017 and to explore the causes and methods of prevention and treatment. Result: There were 130 patients with breast cancer placed TIVAP, Thrombotic complications in 3 cases (2.3%), catheter migration in 1 case (0.8%), base of the port exposure in 1 case (0.8%), pinch-off syndrome in 2 cases (1.5%), failure of placement in 2 cases (1.5%). Conclusion: TIVAP is a safe procedure with lower complications, health care workers involved doctors and nurses should be aware of septic principles, careful insertion and skilled management which would decrease the complication incidence.
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