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乳腺癌患者携PICC并发深静脉血栓形成的原因及诊治 被引量:15

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摘要 目的探讨乳腺癌患者携带中心静脉导管(PICC)出现深静脉血栓形成的原因及诊治方法。方法回顾性分析156例乳腺癌患者PICC相关性深静脉血栓形成的原因及其临床诊治情况。结果患者PICC管总置管时间为14 416 d,中位置管时间为90.5 d,最长210 d。4例在PICC置管后36~120 d出现深静脉血栓形成,发生率为2.6%。临床表现为置管侧上肢酸软不适、胀痛、水肿等,均经血管彩超确诊。给予尿激酶静脉输入、低分子肝素钠皮下注射、肠溶阿司匹林口服、硫酸氢氯吡格雷口服,治疗7~21 d后均治愈。结论乳腺癌患者携带PICC是一种安全有效的方法,少数病例可能出现PICC相关性深静脉血栓形成,早期发现并及时诊治可获得较好的疗效。
机构地区 兴化市人民医院
出处 《山东医药》 CAS 北大核心 2015年第1期54-55,共2页 Shandong Medical Journal
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