骨髓移植后用于静脉通路的希克曼导管的效用和安全性。

Utility and safety of Hickman catheters for venous access after bone marrow transplantation.

作者信息

Kumagai T, Sakamaki H, Tanikawa S, Akiyama H, Maeda Y, Sasaki T, Tsuzuki S, Takamoto S, Takahashi K, Onozawa Y

机构信息

First Department of Internal Medicine, Tokyo Medical and Dental University.

出版信息

Intern Med. 1998 Mar;37(3):286-91. doi: 10.2169/internalmedicine.37.286.

DOI:10.2169/internalmedicine.37.286

PMID:9617864

Abstract

Hickman catheters are useful for vascular access after bone marrow transportation because they can handle large volume and allow for easy transfusions and blood drawing through wide double lumens making it easier to case for patients under sterile conditions in a clean room. However, the safety of Hickman catheters as compared to Silastic catheters in marrow transplants has never been discussed. We therefore retrospectively reviewed the complications of two catheters in 71 allogeneic bone marrow transplant recipients between September 1986 and August 1994. The complication and infection rates of Hickman catheters were 0.21 and 0.09 per 100 device-life days, and rate of temperature >38 degrees C during leukocytopenia (<1,000 white blood cells) was 0.18. These rates were not different from those of Silastic catheters suggesting that Hickman catheters are safe and acceptable in marrow transplantation. The benefits and drawbacks of Hickman catheters relevant to catheter choice were also discussed.

摘要

希克曼导管对于骨髓移植后的血管通路很有用，因为它们能够处理大容量液体，并且通过宽的双腔管便于进行输血和抽血，这使得在洁净室无菌条件下为患者操作更加容易。然而，与硅橡胶导管相比，希克曼导管在骨髓移植中的安全性从未被讨论过。因此，我们回顾性分析了1986年9月至1994年8月期间71例异基因骨髓移植受者中两种导管的并发症。希克曼导管的并发症和感染率分别为每100个装置使用日0.21和0.09，白细胞减少（白细胞<1000）期间体温>38摄氏度的发生率为0.18。这些发生率与硅橡胶导管的发生率没有差异，表明希克曼导管在骨髓移植中是安全且可接受的。还讨论了希克曼导管在导管选择方面的优缺点。