1例静脉输注榄香烯外渗致静脉炎的教训

Intravenous Infusion of Elemene Extravasation Induced Phlebitis in 1 Cases and Lessons

榄香烯脂质体注射液合并放化疗对恶性肿瘤具有增强疗效,降低毒副作用,主要不良反应表现为浅静脉炎,发生率约10%。用药时提示护士加强责任心,加强巡视,密切观察液体有无外渗。外渗后的及时处理,是防止损伤扩大发展的一个很重要的原因。对于静脉炎的防护最为有效的措施是经皮穿刺留置锁骨下静脉、颈静脉或外周静脉插管的中心静脉导管,这不仅解决了药物刺激和外渗的问题,也为肿瘤患者的长期输液,输注化疗药物和反复采血提供了方便。

Elemene liposome injection combined with chemotherapy can enhance the therapeutic ef ect on malignant tumor,reduce side ef ects,the main adverse reactions were superficial phlebitis,incidence of about 10%.Medication that nurses to enhance the sense of responsibility,strengthen the inspection,close observation of liquid has no extravasation.The timely processing of exosmosis,is to prevent a very important cause damage to expand.For the most ef ective measures for the prevention of phlebitis is percutaneous indwel ing central venous catheter vein,jugular vein and peripheral vein catheterization of subclavian,which not only solve the drug stimulation and extravasation of tumor patients,also for the long-term transfusion,infusion of chemotherapeutic drugs and repeated blood sampling provides a convenient.