B超随访与肿瘤患者PICC导管相关性血栓检出的相关性研究  

Study on the relationship between B ultrasound follow-up and PICC related thrombosis in patients with tumors

作　　者：刘卫娟[1] 叶绿苗[1] 王瑛[2] 朱惠珊[1] 刘嫣媚[1] 

机构地区：[1]广州医科大学附属第一医院儿科,510120 [2]广州医科大学附属第一医院超声科,510120

出　　处：《中国医疗前沿》2013年第19期102-102,109,共2页China Healthcare Innovation

基　　金：广州医学院青年基金(编号:2011A08)

摘　　要：目的探讨血管B超随访与肿瘤患者PICC导管相关性血栓检出率的关系。方法对157例PICC置管的肿瘤患者定期进行置管侧肢体的血管B超随访。结果有21例发生血栓,PICC导管相关性血栓发生率为13.37%,其中15例无任何血栓症状,6例有静脉呈条索状改变、肢体肿胀、沿导管方向疼痛等症状。血栓发生的平均时间是11.48±9.37d。结论 PICC置管后应定期进行血管B超随访,及时检测出PICC导管相关性血栓,防止血栓的发展,降低拔管及严重并发症的发生。Objective To investigate the relationship between B ultrasound follow-up and PICC related thrombosis in patients with tumors. Methods 157 cases of patients with tumors were included. PICC related thrombosis was observed by vascular B ultrasound follow-up periodic. Results There were 21 cases of thrombosis; the incidence of PICC related thrombosis was 13.37%. Of which 15 cases without any symptoms of thrombosis, six cases showed cord-like changes in vein, limb swelling, and pain. The average time of thrombosis was 11.48±9.37 days. Conclusion B ultrasound follow-up in PICC could timely detect the PICC-related thrombosis, prevent the development of thrombosis and reduce the incidence of extubation and serious complications.

关 键 词：PICC 血栓 B超 随访 

分 类 号：R473.73[医药卫生—护理学]