老年肿瘤化疗患者PICC置管后静脉血栓形成的危险因素及防护措施的研究进展

Research progress on risk factors and protective measures of venous thrombosis after PICC catheter placement in elderly patients undergoing chemotherapy for cancer

经外周静脉留置中心静脉导管术(PICC)是常用的静脉给药方式,为肿瘤治疗常用途径。然而,PICC的操作是一种侵入性、有创性的操作,会给患者带来不同程度的不适,特别是对老年肿瘤化疗的患者,容易造成PICC相关性并发症,其中静脉血栓就是较为严重的并发症之一。静脉血栓的形成主要与肿瘤类型、导管类型、置管位置、患者因素以及护理操作因素等多种因素相关。本文综述了老年肿瘤化疗患者PICC置管后静脉血栓形成的危险因素及防护措施,为临床上有效预防和减少血栓形成提供参考。

Peripherally inserted central venous catheterization （PICC） is a common route for intravenous administrationof tumor patients. However, PICC is an virulence and invasive operation. It will bring different degrees of discomfort topatients, especially for elderly patients with chemotherapy, which is likely to cause PICC related complications. PICCrelated venous thrombosis is one of the more serious complications. The formation of venous thrombosis is mainly associated with tumor catheter type, position of pipe, patient factors and nursing related factors. This article reviewed therisk factors and protective measures of venous thrombosis after PICC catheter placement in elderly patients undergoingchemotherapy. It can provide reference for effective prevention and reduction of thrombosis in clinic.