[1]刘 铭,张 露,李 洪,等.锁骨下静脉穿刺输液港植入的并发症分析[J].医学信息,2019,32(09):108-110.[doi:10.3969/j.issn.1006-1959.2019.09.035]
　LIU Ming,ZHANG Lu,LI Hong,et al.Analysis of Complications of Subclavian Vein Puncture Infusion Port Implantation[J].Journal of Medical Information,2019,32(09):108-110.[doi:10.3969/j.issn.1006-1959.2019.09.035]
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锁骨下静脉穿刺输液港植入的并发症分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年09期
页码:
108-110
栏目:
临床研究
出版日期:
2019-05-01

文章信息/Info

Title:
Analysis of Complications of Subclavian Vein Puncture Infusion Port Implantation
文章编号:
1006-1959（2019）09-0108-03
作者:
刘 铭1; 张 露2; 李 洪1; 王力斌1; 余伟儇1
（广东东莞市中山大学附属东华医院肿瘤外科1，内科2，广东 东莞 523000）
Author(s):
LIU Ming1; ZHANG Lu2; LI Hong1; WANG Li-bin1; YU Wei-xuan1
(Department of Oncology1,Department of Internal Medicine2,Donghua Hospital,Zhongshan University,Dongguan 523000,Guangdong,China)
关键词:
锁骨下静脉穿刺; 完全植入式静脉输液港; 并发症
Keywords:
Subclavian vein puncture; Fully implanted intravenous port; Complications
分类号:
R472
DOI:
10.3969/j.issn.1006-1959.2019.09.035
文献标志码:
A
摘要:
目的 探讨锁骨下静脉穿刺输液港植入并发症发生的危险因素，总结减少并发症的策略。方法 回顾性分析2010年6月~2018年6月我院605例经锁骨下静脉穿刺植入输液港患者的临床资料，选取性别、年龄、身高、BMI、入路（右侧、左侧）及输液港导管尖端位置等6种可能影响锁骨下静脉穿刺输液港植入并发症发生的相关因素进行分析。结果 本组患者总体并发症发生率为3.64%，其中术中并发症发生率为1.98%，包括穿刺失败改对侧锁骨下静脉穿刺后植入、气胸、误入颈内静脉；远期并发症发生率为1.65%，包括1例锁骨下静脉血栓，1例输液港外露，1例导管破损，2例导管堵塞，1例导管脱落，4例导管感染。术中并发症患者均顺利完成化疗，远期并发症导致非正常取港10例。左、右侧植入患者的并发症发生率比较，差异无统计学意义（P＞0.05）；异常BMI（BMI＞24 kg/m2和BMI＜19 kg/m2）是并发症发生的危险因素。结论 锁骨下静脉穿刺植入输液港并发症发生率低，异常BMI指数患者是锁骨下静脉穿刺输液港植入并发症发生的高危人群。
Abstract:
Objective To investigate the risk factors for complication of subclavian vein puncture infusion port and to summarize strategies for reducing complications.Methods The clinical data of 605 patients undergoing subclavian vein puncture and infusion port in our hospital from June 2010 to June 2018 were retrospectively analyzed. Gender, age, height, BMI, approach (right, left) and 6 factors related to the complications of implantation of the subclavian vein puncture port were analyzed.Results The overall complication rate of this group was 3.64%, of which the intraoperative complication rate was 1.98%, including puncture failure and contralateral subclavian vein puncture implantation, pneumothorax, and miscarriage into the internal jugular vein. Long-term complications The incidence rate was 1.65%, including 1 case of subclavian vein thrombosis, 1 case of infusion port exposure, 1 case of catheter damage, 2 cases of catheter blockage, 1 case of catheter shedding, and 4 cases of catheter infection. Patients with intraoperative complications successfully completed chemotherapy, and long-term complications resulted in 10 abnormal port visits. There was no significant difference in the incidence of complications between the left and right implants (P>0.05). Abnormal BMI (BMI>24 kg/m2 and BMI<19 kg/m2) was a risk factor for complications.Conclusion The incidence of complications of subclavian vein puncture and infusion port is low. Patients with abnormal BMI index were at high risk for complications of implantation of subclavian vein puncture infusion port.

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更新日期/Last Update: 2019-05-01