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[头颈部肿瘤学中植入可植入静脉通路系统后锁骨下静脉血栓形成的前瞻性研究]

[Prospective study of thromboses of the subclavian vein after setting implantable venous access systems in cervico-facial cancerology].

作者信息

Bonfils P, Luciani J A, Potard G, Bassot V

机构信息

Service d'ORL et de Chirurgie Cervico-Faciale, Faculté Necker-Enfants Malades, Université René Descartes, Hôpital Boucicaut, Paris.

出版信息

Ann Otolaryngol Chir Cervicofac. 1996;113(7-8):425-9.

PMID:9207977
Abstract

Seventy-eight consecutive patients treated by chemotherapy for ENT cancers and having a subclavian catheter for venous access were studied prospectively to assess the prevalence of venous thrombosis. Thrombosis of the subclavian vein was demonstrated clinically in 4 patients and by ultrasonography in 7 patients. The prevalence of thrombosis was 14.1%. No clinical or biological predisposition factor could be identified. Subclavian thrombosis mostly occurred during the second month after implantation (91% of cases). Ultrasonography seems the most useful non-invasive technique for the diagnosis of subclavian thrombosis.

摘要

对78例接受化疗的耳鼻喉科癌症患者进行了前瞻性研究,这些患者均通过锁骨下静脉置管建立静脉通路,以评估静脉血栓形成的发生率。4例患者临床诊断为锁骨下静脉血栓形成,7例患者经超声检查确诊。血栓形成的发生率为14.1%。未发现临床或生物学易患因素。锁骨下静脉血栓形成大多发生在置管后的第二个月(91%的病例)。超声检查似乎是诊断锁骨下静脉血栓形成最有用的非侵入性技术。

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