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[用于儿科肿瘤长期化疗的带皮下端口的中心静脉导管]

[Central venous catheters with subcutaneous ports for long-term chemotherapy in pediatric oncology].

作者信息

Zmudzka-Stapińska I, Rawicz M, Sopyło B, Jaranowska D, Rokicka-Milewska R

机构信息

Katedry i Kliniki Pediatrii, Hematologii i Onkologii, Warszawie.

出版信息

Acta Haematol Pol. 1992;23(3):171-8.

PMID:1492541
Abstract

In 29 paediatric oncology patients requiring intravenous chemotherapy, intravenous antibiotics intravenous fluids and blood products transfusions the central venous catheters with subcutaneous ports were inserted. Catheters were left in place for the period lasting from two weeks up to one year in 14 children they still remain in place, 6 catheters were removed due to complications such as occlusion, local necrosis, abscess or bleeding around the place of insertion. The described method, securing long-term venous access, enables safe and painless treatment, which is specially important in paediatric oncology. Moreover, home care can replace hospital treatment and whole procedure is highly cost-effective due to extended time of catheters utilization.

摘要

在29例需要静脉化疗、静脉使用抗生素、静脉输液和输血的儿科肿瘤患者中,插入了带皮下端口的中心静脉导管。导管在14名儿童体内留置了两周至一年,目前仍在体内,6根导管因堵塞、局部坏死、脓肿或穿刺部位周围出血等并发症而被拔除。所述方法可确保长期静脉通路,实现安全无痛的治疗,这在儿科肿瘤学中尤为重要。此外,家庭护理可替代住院治疗,且由于导管使用时间延长,整个过程具有很高的成本效益。

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