Rettenmaier M A, Micha J P, Braly P S, Silva P D, Berman M L, Disaia P J
Obstet Gynecol. 1985 Oct;66(4):559-63.
The indications for insertion of semipermanent right atrial silicone catheters and immediate and long-term complications in patients admitted to a gynecologic oncology service, are described. Eight-five catheters were inserted in 79 patients for a variety of indications. Most catheters were placed under local anesthesia, in the patient's hospital room. Immediate morbidity caused by damage to the pleura was limited to three patients (3.5%). Infectious morbidity related to catheter use was seen in five patients (5.9%). Two patients were unable to administer daily heparin boluses through the catheter, and in both of these patients catheter thrombosis was seen (2.4%). A right atrial catheter can easily be inserted at the patient's bedside or in an outpatient setting. This device should be offered to any patient in whom intermediate or long-term vascular access is desired for nutritional support, chemotherapy, pain control, or similar indications.
本文描述了在妇科肿瘤病房患者中插入半永久性右心房硅胶导管的适应症以及即刻和长期并发症。79例患者共插入85根导管，用于各种适应症。大多数导管在患者病房内局部麻醉下插入。因胸膜损伤导致的即刻发病率仅限于3例患者（3.5%）。与导管使用相关的感染发病率见于5例患者（5.9%）。2例患者无法通过导管每日推注肝素，这2例患者均出现导管血栓形成（2.4%）。右心房导管可轻松在患者床边或门诊环境中插入。对于任何因营养支持、化疗、疼痛控制或类似适应症而需要中长期血管通路的患者，均应提供该装置。
