13例静脉输液港体内断裂分析

Analysis on 13 cases with rupture of venous port access in vivo

目的 通过对静脉输液港使用中发生断裂的研究,探讨断裂原因、断裂的识别方法 和处理措施.方法 采用回顾性分析的方法 搜集2013—2016年使用输液港并发生断裂的病例情况,对发生断裂的原因、断裂的识别方法 和处理措施进行总结和评价.结果 2013—2016年共有3246例病例采用了输液港进行治疗,其中13例发生输液港断裂,从输液港植入至发现导管断裂,最短13 d,最长120 d,断裂后导管发生移位8例,未发生移位5例,通过触摸、观察、治疗前维护等方法 能够发现并识别,采用局部或介入手术进行处理.结论 采用触摸、观察、治疗前维护等方法 可靠、有效,输液港断裂处理方法 得当,加强管理及相关知识教育,重视维护,采取预见性措施,是降低断裂并发症的关键.

Objective To explore the reasons, identification methods and treatment measures of rupture by the research on the rupture during applying venous port access （VPA）. Methods A retrospective analysis was used to the cases collected from 2013 to 2016 with rupture of VPA. The study summarized and evaluated the reasons, identification methods and treatment measures of rupture. Results A total of 3 246 cases were with VPA from 2013 to 2016. There were 13 cases with rupture of VPA. The time from implanting VPA to finding the rupture ranged from 13 days （the shortest） to 120 days （the longest）.There were 8 cases with catheter displacement and 5 with no catheter displacement after rupture. The rupture was discovered and identified by the methods of touch, observation and maintenance before treatment and so on. Besides, the rupture was treated with the method of local and interventional operation. Conclusions The methods of touch, observation and maintenance before treatment and so on are reliable and effective. The treatment on rupture of VPA was proper. The key of reducing the incidence of complications on rupture is to strengthen the management and knowledge education, pay attention to maintenance and take predictable measures.