摘要
目的:评价不同深静脉穿刺置管部位对恶性肿瘤晚期合并低蛋白水肿患者的安全性。方法:通过316例恶性肿瘤晚期合并低蛋白水肿患者,进行左、右锁骨下静脉及股静脉三种静脉置管方式的观察,比较其发生渗液、感染、导管脱出及静脉栓塞情况。结果:左、右锁骨下静脉置管组发生渗液、感染、导管脱出及静脉栓塞的情况均明显低于股静脉置管组。结论:结合临床对深静脉置管的风险性和可操作性的考虑,对恶性肿瘤晚期合并低蛋白水肿患者行深静脉置管的部位最好选择右锁骨下静脉,并有针对性地做好护理工作。
Objective：To evaluate the safety of different sites of intravascular catheterization by central venous puncture in patients of terminal malignant tumors accompanying hypoproteinemia.Methods：316 patients of terminal malignant tumors accompanying hypoproteinemia were treated with central venous puncture via left subclavicular vein,right subclavicular vein and femoral vein respectively.Exudation,infection,catheter slide and vein embolism were observed.Results：the incidence of exudation,infection,catheter slide and vein embolism in subclavicular vein group is significantly lower than femoral vein group.Conclusions：Thinking of riskiness and maneuverability in clinical treatment,it is better to choose right subclavicular vein as central venous puncture for those patients of terminal malignant tumors accompanying hypoproteinemia and made pointed nursing.
出处
《华西医学》
CAS
2008年第4期883-884,共2页
West China Medical Journal
关键词
恶性肿瘤晚期合并低蛋白水肿
深静脉置管
护理
patients of terminal malignant tumors accompanying hypoproteinemia
central venous puncture
nursing
