摘要
目的探讨植入式静脉输液港在肿瘤患儿使用中发生并发症的原因及护理方法。方法 对207例采用植入式静脉输液港技术的恶性肿瘤患儿临床资料进行回顾性分析,总结并发症发生的原因、预防及其处理措施。结果本组207例患儿,累计置管天数为94 983 d,共出现导管相关性感染30例次、导管相关性阻塞26例次、输液港针头滑出10例次、输液港港体外露6例次、港体穿透破损3例次、皮肤过敏3例次和导管裂缝1例次。结论导管相关性感染和导管相关性阻塞是植入式静脉输液港使用过程中最常见的并发症。导管相关性感染必须合理地使用抗生素治疗,导管血栓性阻塞可以采用肝素或尿激酶来解除阻塞。专业的护理可以预防与减少各种并发症的发生。
Objective To analyze the causes and nursing strategies of the complications with implantable venous access port in children with cancer. Methods Retrospective analysis was conducted on the clinical data of 207 children with cancer undergoing implantable venous access port regarding the causes of complications,prevention and the treatments. Results For 94983 dwelling catheter days in the 207 children,we observed 30 catheter-related infections, 26 catheter-related obstructions, 10 port needles slide, 6 ports exposed,3 skin allergies 3 ports broken, and 1 catheter split. Conclusion Catheter-related infection and obstruction are the most frequent complications. Infections should be treated with adequate antimicrobial therapy. Catheter-related thromboembolic obstruction can be cured by heparin and urokinase. Professional nursing can prevent and reduce all the complications.
出处
《解放军护理杂志》
2010年第21期1645-1646,1649,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
静脉输液港
肿瘤患儿
并发症
感染
阻塞
护理
implantable venous access port
children with cancer
complication
infection
obstruction
nursing
