B超引导下经颈内静脉行PICC置管技术在双侧乳腺癌患者中的应用  

作　　者：王君芬[1] 王信娟[1] 潘海燕[1] 颜波儿[1] 刘波[1] 

机构地区：[1]浙江省舟山医院,316021

出　　处：《浙江临床医学》2018年第2期357-358,共2页Zhejiang Clinical Medical Journal

摘　　要：目的为双侧乳腺癌患者术后化疗建立正确有效的静脉通路。方法2015年12月至2017年7月对23例行双侧乳腺癌改良根治术后化疗的患者在13超引导下通过颈内静脉行经外周静脉置入中心静脉导管（PICC）技术。结果在B超引导下通过颈内静脉行PICC置管的23例患者，全部顺利完成6—8次化疗，疗程结束拔管，无并发症发生。结论B超引导下通过颈内静脉行PICC置管，可有效解决双侧乳腺癌患者术后化疗静脉通路的问题，一次置管可以完成整个化疗疗程，又不影响患者双侧上肢的术后锻炼，值得临床推广。Objective To establish correct and effective venous access for postoperative chemotherapy in patients with bilateral breast cancer. Methods 23 patients with bilateral breast cancer undergoing modified radical mastectomy from December 2015 to July 2017 were treated with peripherally inserted central venous catheter （ PICC ） via internal jugular vein under the guidance of B-mode ultrasound. Results Internal jugular vein for 23 cases of patients with PICC catheter tube by ukrasound guided all successfully completed 6~8 chemotherapy. Till the end of the treatment of extubation, no complications appeared. Conclusion PICC catheterization through internal jugular vein under B-ultrasound guidance can effectively solve the problem of venous access after chemotherapy in patients with bilateral breast cancer. One tube can complete the whole chemotherapy course, and does not affect the postoperative exercise of bilateral upper hmbs, which is worthy of chnical promotion.

关 键 词：双侧乳腺癌 经外周静脉置入中心静脉导管 颈内静脉 护理 

分 类 号：R472[医药卫生—护理学]