Ludwig C U, Obrecht J P
Ther Umsch. 1989 Oct;46(10):709-14.
Totally implantable catheters have greatly improved therapy and supportive care of tumor patients. Venous catheters can reduce the problem of maintaining reliable vascular access and the risk of cytotoxic drug extravasation. In addition, epidural or intrathecal catheter systems can result in an improved pain relief and in reduced side effect incidences in many patients suffering from severe cancer pain. The intraarterial and intraperitoneal catheters facilitate loco-regional chemotherapy. If used by an experienced team, most of these systems have a relatively low complication rate. The combination of such catheters with portable pumps does further facilitate the management of ambulatory tumor patients and will improve their quality of life.
完全植入式导管极大地改善了肿瘤患者的治疗和支持性护理。静脉导管可以减少维持可靠血管通路的问题以及细胞毒性药物外渗的风险。此外，硬膜外或鞘内导管系统可以改善许多患有严重癌痛患者的疼痛缓解情况，并降低副作用发生率。动脉内和腹腔内导管便于进行局部区域化疗。如果由经验丰富的团队使用，大多数这些系统的并发症发生率相对较低。此类导管与便携式泵的结合确实进一步便于对门诊肿瘤患者进行管理，并将改善他们的生活质量。
