带植入腔室的导管 432 个病例的结果

Khalil Ghebouli, Hanene Djeghri
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摘要

植入式导管端口是一种永久性中心静脉通路装置,通常用于化疗等长效注射治疗。材料和方法:我们报告了一项历时 6 年的回顾性研究,该研究确定了 432 名受益于植入式导管端口的患者。在住院期间、出院时、一个月后和一年后对患者进行了随访。结果显示平均年龄为 67.9 岁。其中女性 284 人,男性 148 人。需要安装腔室的原发性癌症主要是癌症和支气管肺癌。最常采用的是右颈内静脉入路。并发症主要是感染和气胸。讨论与结论对于长期治疗或静脉用药治疗,中心静脉通路比外周短导管更可取,因为重复穿刺和某些注射药物对静脉的刺激会导致外周静脉疼痛、血栓甚至坏死。植入式导管室可直接进入血管,将导管末端置于心脏入口处,从而快速稀释血液。这使得长期注射药物和/或静脉耐受性较差的患者有可能注射药物。这是一种快速、简便且发病率低的技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Catheter with Implantable Chamber Results of 432 Cases
The implantable catheter port is a permanent central venous access device typically used for long-lasting injectable treatments such as chemotherapy. Materials and Methods: We report a retrospective study spread over 6 years to identify 432 patients who benefited from the placement of an implantable catheter port. Patients were followed during hospitalization and at discharge, one month, and one year later. Results: The average age is 67.9 years. There are 284 women and 148 men. The primary cancer requiring the installation of a chamber is essentially represented by cancer and bronchopulmonary cancers. The right internal jugular approach was the most frequently performed. Complications are mainly represented by infection and pneumothorax. Discussion and Conclusion: For prolonged treatments or treatments with aggressive drugs for the veins, a central venous access is preferable to the short peripheral catheter because the repetition of the punctures and the venous irritation of certain injectable drugs expose to pain, thrombosis or even necrosis, peripheral veins. The implantable catheter chamber allows direct access to a vessel to position the end of the catheter at the entrance to the heart, therefore rapid blood dilution. This makes it possible to inject drugs over the long term and/or whose venous tolerance is poor. It is a quick and easy technique with low morbidity.
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