完全植入式输液港维护及并发症处置专家共识

Expert consensus on maintenance and complication management of fully implanted infusion ports

目的 规范完全植入式输液港(TIAP)维护标准,减少并发症,延长输液港使用寿命,提高患者生活质量,降低医疗费用。方法 通过多学科临床专家实践总结和文献参考对TIAP维护应用要点,皮肤消毒液及穿刺针的选择、冲管封管的方法、敷料及固定、拔针,输液港维护周期,常见并发症规范处置感染、注射座翻转、静脉内血栓、导管堵塞、导管末端移位、导管断裂进行分析,对于TIAP维护标准化操作流程和并发症处理逐步达成共识。结果 规范TIAP维护使用、并发症监测及患者教育等工作,需由接受过相关培训并获得相应资质的人员进行。结论 规范化输液港维护在临床上可以有效预防降低并发症的产生,延长输液港寿命中具有重要价值。

OBJECTIVE To standardize the maintenance standards of fully implantable infusion port(TIAP),in or-der to reduce complications,extend the service life of infusion port,improve the quality life of patients and reduce medical costs.METHODS The main points of maintenance and application of TIAP,the selection of skin disinfect-ant and puncture needle,the method of flushing and sealing tube,dressing and fixation,needle extraction,the maintenance cycle of infusion port,the standard treatment of common complications,infection,injection seat re-versal,intravenous thrombosis,catheter blockage,catheter end displacement,catheter rupture were analyzed ac-cording to the practice summary of multidisciplinary clinical experts and literature reference.A consensus of main-tain standardized operating procedures and manage complications has been reached for TIAP.RESULTS Standardi-zing the maintenance and use of TIAP,complication monitoring and patient education should be carried out by personnel who have received relevant training and obtained corresponding qualifications.CONCLUSION The stand-ardized maintenance of infusion port can effectively prevent and reduce the occurrence of complications in clinical practice,which has important value in prolonging the service life of infusion port.