摘要
目的观察终末期肿瘤患者应用PICC的效果及并发症。方法 51例终末期肿瘤患者行PICC置管,对置管的成功率及相关并发症进行分析。结果 51例患者的总体置管成功率为100%,盲穿及塞丁格技术置管的一次成功率分别为87.5%、88.9%。全体患者共出现穿刺点间断出血1例(2.0%),机械性静脉炎2例(3.9%),穿刺点感染1例(2.0%),穿刺侧肢体肿胀5例(9.8%),堵管发生率0%。两种穿刺方法的一次性成功率和相关并发症无显著差异。结论终末期肿瘤患者应用PICC同样安全、有效,根据具体的血管条件采取合理的穿刺方法,在最大限度的节省治疗费用、降低患者痛苦的同时,置管的安全性和有效性同样得以保障。
Objective To investigate the effects and complications of final stage cancer patients receivedPICC. Methods Fifty-one final stage cancer patients were applied with PICC catheter, and analyze the success rate of catheter and catheter related complications. Results All patients received catheter successfully. The success rate of blind puncture and seldinger technique on setting catheter were 8＂/. 5% and 88.9% respectively. Among all the patients, one （2.0%） of them secondary with bleeding at the puncture point, two （3.9%） of them secondary with mechanical phlebitis, one （2.0%） of them infected at the puncture site, five （9.8%） of them swelling at the puncture side and none plugging occurred. The differences of success rate and incidence of complications of the two puncture methods present no statistically significant （P 〉 0. 05 ）. Conclusions The safety and efficacy of setting catheter could be ensured on the basis of save costs and reduce the suffering of patients according to the condition of blood and take reasonable puncture method.
出处
《齐齐哈尔医学院学报》
2013年第23期3568-3570,共3页
Journal of Qiqihar Medical University
关键词
终末期肿瘤
导管插入术
成功率
并发症
Final stage tumor
PICC
Catheterization
Success rate
Complication
