CAJ | 학술논문

目的：探讨血管B超随访与肿瘤患者PICC导管相关性血栓检出率的关系。方法对157例PICC置管的肿瘤患者定期进行置管侧肢体的血管B超随访。结果有21例发生血栓，PICC导管相关性血栓发生率为13.37%，其中15例无任何血栓症状，6例有静脉呈条索状改变、肢体肿胀、沿导管方向疼痛等症状。血栓发生的平均时间是11.48±9.37d。结论 PICC置管后应定期进行血管B超随访，及时检测出PICC导管相关性血栓，防止血栓的发展，降低拔管及严重并发症的发生。
목적：탐토혈관B초수방여종류환자PICC도관상관성혈전검출솔적관계。방법대157례PICC치관적종류환자정기진행치관측지체적혈관B초수방。결과유21례발생혈전，PICC도관상관성혈전발생솔위13.37%，기중15례무임하혈전증상，6례유정맥정조색상개변、지체종창、연도관방향동통등증상。혈전발생적평균시간시11.48±9.37d。결론 PICC치관후응정기진행혈관B초수방，급시검측출PICC도관상관성혈전，방지혈전적발전，강저발관급엄중병발증적발생。
Objective To investigate the relationship between B ultrasound follow-up and PICC related thrombosis in patients with tumors. Methods 157 cases of patients with tumors were included. PICC related thrombosis was observed by vascular B ultrasound follow-up periodic. Results There were 21 cases of thrombosis; the incidence of PICC related thrombosis was 13.37%. Of which 15 cases without any symptoms of thrombosis, six cases showed cord-like changes in vein, limb swelling, and pain. The average time of thrombosis was 11.48±9.37 days. Conclusion B ultrasound follow-up in PICC could timely detect the PICC-related thrombosis, prevent the development of thrombosis and reduce the incidence of extubation and serious complications.