中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
21期
138-138,139
,共2页
经腋静脉植入输液港%穿刺置管成功率%并发症
經腋靜脈植入輸液港%穿刺置管成功率%併髮癥
경액정맥식입수액항%천자치관성공솔%병발증
Implantable infusion axillary vein Kong%Catheterization success rate%Complication
目的：探讨经腋静脉植入输液港的临床应用。方法选取2014年5月～2015年4月我院352例患者采用经腋静脉入路成功植入静脉输液港，观察此方法在临床上的应用效果。结果穿刺置管成功346例，成功率为98.3%；6例失败，改为颈内静脉穿刺置管。围术期并发症，误穿动脉7例，感染1例，无气胸、血胸，无淋巴管损伤及臂丛神经损伤等；远期并发症，导管堵塞、纤维蛋白鞘形成1例，感染1例，无夹闭综合征、导管脱断、港体翻转等。讨论经腋静脉植入输液港穿刺置管成功率高，并发症少，可作为一种新的、有效的、实用的入路选择。
目的：探討經腋靜脈植入輸液港的臨床應用。方法選取2014年5月～2015年4月我院352例患者採用經腋靜脈入路成功植入靜脈輸液港，觀察此方法在臨床上的應用效果。結果穿刺置管成功346例，成功率為98.3%；6例失敗，改為頸內靜脈穿刺置管。圍術期併髮癥，誤穿動脈7例，感染1例，無氣胸、血胸，無淋巴管損傷及臂叢神經損傷等；遠期併髮癥，導管堵塞、纖維蛋白鞘形成1例，感染1例，無夾閉綜閤徵、導管脫斷、港體翻轉等。討論經腋靜脈植入輸液港穿刺置管成功率高，併髮癥少，可作為一種新的、有效的、實用的入路選擇。
목적：탐토경액정맥식입수액항적림상응용。방법선취2014년5월～2015년4월아원352례환자채용경액정맥입로성공식입정맥수액항，관찰차방법재림상상적응용효과。결과천자치관성공346례，성공솔위98.3%；6례실패，개위경내정맥천자치관。위술기병발증，오천동맥7례，감염1례，무기흉、혈흉，무림파관손상급비총신경손상등；원기병발증，도관도새、섬유단백초형성1례，감염1례，무협폐종합정、도관탈단、항체번전등。토론경액정맥식입수액항천자치관성공솔고，병발증소，가작위일충신적、유효적、실용적입로선택。
Objective To evaluate the clinical application of implantable infusion axillary vein Harbour. Methods From May 2014 to April 2015 in our hospital 352 cases of patients with axillary vein approach successfully implanted venous port, observation times Method Applied in clinic. Results 346 cases catheterization success, a success rate of 98.3%; six cases of failure, instead the internal jugular vein catheterization. Perioperative complications mistake perforating arteries seven cases, one case of infection, no pneumothorax, hemothorax, without lymphatic injury and brachial plexus injury, long-term complications, catheter blockage, fibrin sheath formation of one case of infection 1 cases, no clipping syndrome, catheter off Port body flips. Conclusion Axillary vein catheterization implantable infusion Kong success rate, fewer complications, can be used as a new, effective, practical approach selection.
