Clinical application of upper arm central venous port in cancer patients
10.3760/cma.j.cn211501-20201013-04149
- VernacularTitle:上臂型完全植入式给药装置在肿瘤患者中的临床应用
- Author:
Lirong CAI
1
;
Jinxiang LIN
;
Xiangwei CHEN
;
Xiaoling LIN
Author Information
1. 中山大学护理学院，广州 510080
- Keywords:
Upper arm central venous port;
Oncology;
Thrombosis;
Infection
- From:
Chinese Journal of Practical Nursing
2021;37(23):1775-1779
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical effect of upper arm central venous port in cancer patients.Methods:A total of 500 patients with tumor were selected as the study subjects from March 29, 2018 to January 19 2020. Complications such as catheter-related thrombosis and catheter-related bloodstream infection during the indwelling period were recorded.Results:One patient with severe superior vena cava syndrome failed to be intubated. The other 499 patients were successfully intubated with a success rate of 99.8% (499/500). The rate of complications was 2.6% (13/499), and the rate of catheter-related bloodstream infection was 0.029‰ (4/139 614) in 4 cases, the incidence of catheter-related thrombus was 0.057‰ (8/139 614) in 8 cases. There were 1 case of body turnover, 1 case of median nerve injury, 1 case of local tissue necrosis and 1 case of lymphatic leakage. Extubation was planned in 15 patients, and unplanned extubation in 6 patients due to complications.Conclusions:The upper arm port has less complications and is suitable for patients with tumor chemotherapy and long-term need of infusion. It is worthy of clinical promotion.
