静脉输液港导管脱落至右心房1例报道

A case report of intravenous infusion port catheter shedding to right atrium

对于肿瘤患者及需要长期进行各种静脉输液治疗的患者而言,反复的静脉穿刺和药物刺激,不仅给患者带来痛苦,而且增加护士的操作难度及工作负担,管路维护也极不方便。随着医疗技术的不断发展和输液港在临床上的普及,以及其使用周期长、操作简便、维护少等优势,输液港被越来越多的患者所接受,但输液港在放置及使用过程中也发生了一些相关的并发症,其中导管脱落(断裂)是最严重的并发症。本文通过报道核工业四一七医院1例静脉输液港导管脱落至右心房的病例,结合输液港植入时穿刺路径的选取、静脉输液港的连接方式与技巧,从医生操作、护理人员维护及患者自身管理等方面对导管脱落的相关因素进行全面分析,从而制订应对措施,预防及减少导管脱落风险。

For cancer patients and patients who need to undergo various intravenous infusion treatments for a long time,repeated venipuncture and drug stimulation not only bring pain to patients,but also increase the operation difficulty and work burden of nurses,and pipeline maintenance is also extremely inconvenient.With the continuous development of medical technology and the popularity of infusion port in clinical practice,as well as its advantages such as long service cycle,easy operation and less maintenance,infusion port has been accepted by more and more patients.However,some related complications have also occurred during the placement and use of infusion port,among which catheter shedding(breakage)is the most serious complication.This paper reported a case of catheter shedding to the right atrium of the intravenous infusion port in the Nuclear Industry 417 Hospital,combined with the selection of puncture path during implantation of the intravenous infusion port,the connection mode and skills of the intravenous infusion port,made a comprehensive analysis of the factors related to catheter shedding from the aspects of doctor's operation,nursing staff maintenance and patients'self-management,so as to formulate countermeasures,prevent and reduce the risk of catheter shedding.