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find Author "陈旭霞" 4 results
  • 尿激酶在肿瘤化疗患者间歇期外周静脉置入中心静脉导管封管维护的临床应用

    【摘要】 目的 〖JP2〗总结肿瘤患者化疗间歇期外周置入中心静脉导管(PICC)后封管维护的方法和效果。 方法 2010年1-5月应用0.5 mL含尿激酶12.5万U的生理盐水代替常规肝素封管液, 对PICC管行封管维护,使PICC管在患者整个化疗间歇期保持通畅。 结果 通过对13例32次PICC管尿激酶封管显示,尿激酶封管能维持PICC管通畅长达23 d,平均15 d,通畅率达93.7%,无感染无出血发生,患者封管前后检测外周血出凝血(DIC)各项指标变化无统计学差异。 结论 肿瘤患者化疗间歇期,尿激酶封管能维持PICC管通畅,经检测对患者出凝血系统无影响,无不良反应。

    Release date:2016-09-08 09:52 Export PDF Favorites Scan
  • 经外周置入中心静脉导管锁骨下静脉反折入腋静脉特殊体位下复位成功一例

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  • 经外周静脉置入中心静脉导管断裂后回缩至体内处理一例

    【摘要】 目的 通过一例经外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)断裂后回缩至体内的病案,探讨防止PICC导管断裂的预防措施。 方法 2009年6月1例肿瘤患者PICC导管断裂后回缩至体内,采用数字减影血管造影术引导下的导管捕获手术顺利取出导管。 结果 术后未见明显不良反应,患者住院观察10 d顺利出院,后经外周留置针途径如期完成化疗。 结论 加强护理人员对PICC维护知识和技能培训,做好患者PICC导管自我观察和带管活动的健康指导,可以最大限度减少PICC并发症的发生。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • A Study on Catheter Related Infection in Cancer Patient Treated with Central Venous Catheterization

    Objective To study the catheter-related infection (CRI) in cancer patients treated with central venous catheterization. Methods A prospective study with 196 cancer patients was conducted to analyze the types of catheter-related infection and pathogen, as well as the relationship between CRI and the following factors: insert location, gender, age, remained time, or bone marrow suppression. Results Of the total 196 cases, 16 cases were diagnosed as CRI and the CRI rate was 8.2%. The types of CRI were five cases of pathogen colonization, four cases of insert location infection and seven cases of catheter-related bloodstream infection. Of the total 244 specimens, 20 were positive including 7 pathogenic bacteria in either Gram positive or Gram negative types, the dominating pathogens were staphylococcus aureus, staphylococcus epidermidis, acinetobacter baumannii and klebsiella pneumoniae. CRI was related to both insert location and age which were both the independent risk factors. Conclusion The concept of prevention should be set up, and the comprehensive measures should be taken to reduce CRI, such as choosing an appropriate insert location and complying with a strict catheter insert standard.

    Release date:2016-09-07 11:00 Export PDF Favorites Scan
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