Shimonov M, Rubin M, Tamir G, Milo G, Antebi E
Dept. of Surgery A, Beilinson Medical Center, Petah Tikva.
Harefuah. 1992 Jul;123(1-2):17-9, 71.
Subcutaneous venous catheter devices were implanted in 104 patients between January 1989 and June 1991. In 90% the implantation was performed under local anesthesia as an ambulatory procedure. In 85% the catheter was implanted for long-term chemotherapy and in 15% for intravenous feeding, antibiotic treatment or dialysis. There were postoperative complications in about 10%, the most frequent being infection of the surgical wound or of the catheter canal. Venous thrombosis, cutaneous necrosis and catheter occlusion were observed in only 5%. The main advantages of the method are its convenience for the patient, ease of installation and low rate of complications. From our experience we conclude that the implanted subcutaneous venous catheter is a simple and effective procedure for prolonged intravenous treatment.
1989年1月至1991年6月期间,对104例患者植入了皮下静脉导管装置。90%的植入手术在局部麻醉下作为门诊手术进行。85%的导管用于长期化疗,15%用于静脉营养、抗生素治疗或透析。术后并发症发生率约为10%,最常见的是手术伤口或导管通道感染。仅5%的患者出现静脉血栓形成、皮肤坏死和导管堵塞。该方法的主要优点是对患者方便、易于安装且并发症发生率低。根据我们的经验,我们得出结论,植入式皮下静脉导管是一种用于长期静脉治疗的简单有效的方法。