Nursing of transfusion port implanted by axillary vein
10.3760/cma.j.issn.1674-2907.2016.18.034
- VernacularTitle:经腋静脉植入输液港患者的护理
- Author:
Jia ZHANG
1
;
Keli YAN
;
Yuhua CUI
;
Boqiang FAN
Author Information
1. 210029 南京医科大学第一附属医院肿瘤科
- Keywords:
Axillary vein;
Infusion port;
Nursing
- From:
Chinese Journal of Modern Nursing
2016;22(18):2640-2642
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical application and nursing effect of implantable venous access ports via the axillary vein.Methods From September 2014 to December 2015,1 263 cases of malignant tumor patients were implanted implantable venous access ports via the axillary vein under ultrasound guidance in Oncology Department of our hospital.The effects of the application of implantation method and nursing were observed.Results The 1 325 cases underwent implantable venous access ports via the axillary vein with 1 263 cases catheterization succeeded,and the success rate is 95.3%.For 62 failed cases,the internal jugular vein catheterization were carried out instead.The average time of implantation time was 10.5 minutes.For the 3 cases of catheter blockage,they were reused after recanalization using thrombolysis under negative pressure with urokinase;for the 2 cases localized infection,the ports were removed and the drug were injected through PICC;no serious complications,namely thrombosis,pinch-off syndrome,catheter disconnection,port body flips et al,happened.Conclusions Implantable venous access ports via the axillary vein with the features of high success ratio,short operating time,can be used as a new selection of port implantation.By establishing the standardization and homogenization of the whole catheter management system postoperatively,strengthening catheter maintenance training for nursing staff,and focusing on the details of the process of operation and maintenance,the complications of infusion port can be reduced,so as to keep the port using for a longer time.
