1030例肿瘤患者PICC相关性血栓的现况调查

Peripherally inserted central catheter related venous thrombus of 1030 tumor patients

目的了解肿瘤患者经外周静脉置入中心静脉导管(peripheral insert central catheter,PICC)相关性血栓的发生及血栓转归情况。方法采用横断面调查方法调查2016年5月1日-5月31日在复旦大学附属肿瘤医院就诊的1 030例肿瘤患者PICC相关性血栓的发生情况,并跟踪70 d,调查患者的血栓治疗和转归情况。结果在置入PICC 1个月内血栓患病率最高,为5.4%(56/1 030),其中无症状血栓占76.8%(43/56),39例患者经完整治疗后血栓消退。结论PICC相关性血栓多为无症状血栓,医务人员应及时发现潜在危险因素并对应处理,有效促进患者病情转归。

Objective To investigate the peripherally inserted central catheter (PICC )related venous thrombus of tumor patients and to know the prognosis of those patients. Methods A cross-sectional survey was conducted among 1 030 tumor patients admitted to Fudan University Shanghai Cancer Center in May 2016 to investigate the PICC related venous thrombus and to follow up their prognosis for 70 days. Results The first month of PICC insertion was the period with highest rate of PICC related venous thrombus and the rate was 5.4%(56/1 030). Among those venous thrombus cases,asymptomatic thrombosis was the most common with rate of 76.8%(43/56). Thirty-nine patients recovered after treatment. Conclusion Most of the PICC related venous thrombus are asymptomatic. Potential risk factors should be identified and treated in time to improve the prognosis of the tumor patients.