植入式输液港并发症原因分析及护理对策

Reason Analysis and Nursing Countermeasures on Complications of Implantable Infusion Port

目的探讨植入式输液港相关并发症产生的原因以及护理对策。方法选取我院植入式输液港患者50例,采用百分比的统计学方法对研究结果进行分析。结果留置植入式输液港的50例患者全部穿刺成功,其中无并发症发生例数40例(80.0%);10例发生的并发症包括导管堵塞3例,静脉炎2例穿刺点感染1例,药液外渗1例,Pinch-off综合征1例,导管脱落1例,血栓形成1例。留置导管最长时间310天,最短15天。结论植入式输液港是一种安全有效的置管术,能够有效减少静脉炎,减少药物渗出所致的周围组织坏死的危险,尤其适合需要长期化疗的肿瘤患者以及需要长期静脉补液的慢性病患者;并且留置时间长、护理方便、对患者的日常活动没有影响,显著改善了患者的生活质量,值得进一步推广。

Objective To investigate the reasons and nursing countermeasures on complications of implantable infusion port. Methods 50 patients who placed with central venous implantable infusion port in our hospital were selected, and the research results were analyzed by percentage Statistical method. Results All cases were punctured successfully, including 40 cases （80.0%） without complication. The complications included 3 cases of catheter obstruction, 2 cases of phlebitis, 1 case of puncture point infection, 1 case of medicine exosmosis, 1 case of Pinch-off syndrome, l case of catheter fall off, and 1 case of thrombosis. The time of catheter indwelling was 15 - 310 days. Conclusions Implantable infusion port is a safe and effective technology, which can effectively reduce phlebitis, reduce the risk of surrounding tissue necrosis caused by drug lekage, and especially suitable for tumor patients who need long-term chemotherapy and patients with chronic disease who need long-term venous transfusion. The implantable infusion port can be indwelled for a long time, easy care, has no impact on the patient＇s daily activities, significantly improve patients＇ quality of life, so it is worthy of further promotion.