摘要
目的讨论植入式中心静脉给药装置（化疗泵）在恶性肿瘤患儿治疗中常见并发症的预防和处理。方法1999年6月～2004年6月，共计79例肿瘤患儿安装化疗泵并经泵化疗。60例经颈外静脉切开插管．导管头端置于上腔静脉；10例经颈内静脉插管；9例锁骨下静脉穿刺插管，泵体置于侧胸壁皮下。结果79例患儿平均带泵天数721d。其间10例发生导管阻塞，1例置泵1年后泵体处皮肤磨损。79例经泵抽血培养98次，其中有菌生长17次。结论全麻下经颈外静脉切开插管为安装化疗泵的首选方法。化疗泵安装和应用的规范化是减少和预防并发症发生的主要措施，并发症的预防和及时有效的处理是化疗泵安装得以全面推广的可靠保证。
Objective To review the common complications of central venous catheters（port- a - cath） in pediatric cancer patients. Methods From June 1999 to June 2004, a total of seventy- nine catheters were inserted in pediatric cancer patients. Sixty catheters were introduced through the external jugular vein into the superior vena cave. Ten catheters were inserted through the internal jugular vein and nine catheters were inserted via puncture subclavian vein. The pump was subcutaneously implanted in the anterolaterai chest wail （anterior axiliary line）. Results The average duration of catheters were 721 days in seventy- nine patients. Ten patients developed catheter occlusion. One patient had skin erosion of the chest wall. one year later. Ninety-eight blood cultures were sampled through the pump in seventy- nine patients, with seventeen positive cultures. Conclusions Catheter is preferably inserted through the external jugular vein under general anesthesia. Standardized protocols of insertion and use of port-a-cath are important measures to of complications will ensure wider usage of this prevent complications. Timely and effective treatment device.
出处
《中华小儿外科杂志》
CSCD
北大核心
2006年第1期10-12,共3页
Chinese Journal of Pediatric Surgery
关键词
导管插入术
中心静脉
肿瘤
Catheterization. central venous
Neoplasms
