[1]侯剑媚,张京慧,马梦丹,等.下肢不同血管通道在上腔静脉阻塞化疗患者中的应用[J].介入放射学杂志,2018,27(09):836-841.
HOU Jianmei,ZHANG Jinghui,MA Mengdan,et al.Application of different vascular accesses of the lower extremity in chemotherapy for patients with superior vena cava obstruction[J].journal interventional radiology,2018,27(09):836-841.
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下肢不同血管通道在上腔静脉阻塞化疗患者中的应用()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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27
- 期数:
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2018年09期
- 页码:
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836-841
- 栏目:
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肿瘤介入
- 出版日期:
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2018-09-25
文章信息/Info
- Title:
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Application of different vascular accesses of the lower extremity in chemotherapy for patients with superior vena cava obstruction
- 作者:
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侯剑媚; 张京慧; 马梦丹; 徐彬斌; 唐四元
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- Author(s):
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HOU Jianmei; ZHANG Jinghui; MA Mengdan; XU Bingbing; TANG Siyuan
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Department of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, Hunan Province 410008, China
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- 关键词:
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【关键词】 上腔静脉阻塞; 化疗患者; 股静脉置管; 大腿中部股静脉; 腹股沟股静脉; 下肢留置针置管
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨下肢不同血管通道在上腔静脉阻塞患者中应用的优劣性,为上腔静脉阻塞化疗患者优选血管通路提供依据。方法 198例上腔静脉阻塞患者随机分为A、B、C 3组,分别接受经大腿中部股静脉置管、经腹股沟股静脉置管及下肢留置针置管,比较不同血管通道的应用效果及并发症发生率。结果 3组患者的一次性穿刺成功率(98.51%、98.48%、76.92%)、一次性置管成功率(98.51%、98.48%、76.92%)、疼痛评分(1.52±0.56、1.53±0.59、2.43±0.61)、出血量评分(2.48±0.64、2.59±0.55、3.65±0.54)、舒适度评分(4.06±0.60、1.39±0.58、1.38±0.58)、留置时间[(191.46±33.11) d、(96.62±32.46) d、(1.92±0.91) d]及操作时间[(30.28±3.45) min、(30.03±2.37) min、(3.29±0.46) min]比较,差异均有统计学意义(P<0.001)。3组患者的导管堵塞(7.46%、7.58%、12.31%)比较,差异无统计学意义(P>0.05)。3组患者的导管破损(1.49%、7.58%、0%)、导管血栓(1.49%、12.12%、7.69%)、导管感染(1.49%、18.18%、6.15%)、静脉炎(0%、0%、92.31%)及药物外渗(0%、0%、9.23%)发生率比较,差异均有统计学意义(P<0.05)。结论 经大腿中部股静脉PICC置管患者临床置管效果好,并发症低,患者舒适度强,留置时间长,在上腔静脉阻塞化疗患者中可作为优选静脉通道。
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备注/Memo
- 备注/Memo:
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(收稿日期:2018-03-22)
(本文编辑:俞瑞纲)
更新日期/Last Update:
2018-09-11