摘要
目的：探讨乳腺癌中心静脉置管（CVC）后深静脉血栓形成的临床特点。方法：对行中心静脉置管后深静脉血栓形成6例患者的临床资料进行回顾性分析。6例均为女性，平均年龄（48±7．5）岁；4例经锁骨下静脉置管，2例经锁骨上静脉置管，置管时间平均为86d。所有病例均表现为患肢肿痛，经彩色B超确诊，行抗凝、溶栓、抗感染治疗。结果：6例患者肢体肿胀完全消退，疼痛减轻，2～4周后痊愈，均未发生栓塞等并发症。结论，乳腺癌中心静脉置管后深静脉血栓形成好发于中老年、留置时间长的患者。彩色多普勒超声是深静脉血栓形成的的首选诊断方法，抗凝治疗效果好。
Objective： To investigate the clinical characteristics of deep venous thrombosis after central venous catheter（CVC） in patients with braest cancer. Methods： The clinical data of 6 cases with deep venous thrombosis after CVC were analyzed retrospectively, all female; average age were 48±7.5; 4 cases with subclavian pathway, 2 cases with supraclavian pathway;average CVC times were 86 days. Results： All cases were with pain and swelling of upper-limb, anticoagulation; thrombolysis and antibiotics were used after diagnosis were confirmed, with no complication of embolization. Conclusion： Middle and old-aged people might be easily attacked, indwelling catheter time were too long; ultrasonic vascular examination always has positive results; anticoagulation was effective in all cases.
出处
《新疆医科大学学报》
CAS
2008年第7期836-837,共2页
Journal of Xinjiang Medical University
关键词
乳腺癌
深静脉血栓
中心静脉置管
breast cancer
deep venous thrombosis
central venous catheter（CVC）
