Lee R B, Elg S A
Department of Obstetrics and Gynecology, Madigan Army Medical Center, Tacoma, WA 98431.
Mil Med. 1990 Oct;155(10):480-2.
Sixty-eight semipermanent subclavian catheters were placed in 61 patients with gynecologic malignancies. The principal indicator for placement was chemotherapeutic administration. Other uses included blood transfusion, antibiotic infusion, and hyperalimentation. The minor complication rate of 21% included exit site infections and clotted, broken, and dislodged catheters. There were no acute surgical complications; i.e., bleeding or pneumothorax, but there was a 6% major complication rate, which included four cases of sepsis and a case of a broken intravascular catheter.
61例妇科恶性肿瘤患者共置入68根半永久性锁骨下导管。置管的主要指征是化疗给药。其他用途包括输血、抗生素输注和胃肠外营养。21%的轻微并发症发生率包括出口部位感染以及导管堵塞、折断和移位。无急性手术并发症，如出血或气胸，但有6%的严重并发症发生率，包括4例败血症和1例血管内导管折断。
