一例血栓性静脉炎并发耐甲氧西林金黄色葡萄球菌感染的护理体会  

Nursing experience of a case of thrombophlebitis complicated with methicillin-resistant Staphylococcus aureus infection

作　　者：陆娟 姜静[1] 栾凤兰[1] LU Juan;JIANG Jing;LUAN Fenglan(Jiangsu Cancer Hospital,Nanjing 210009,China)

机构地区：[1]江苏省肿瘤医院,江苏南京210009

出　　处：《临床医学研究与实践》2025年第7期29-32,共4页Clinical Research and Practice

摘　　要：2023年6月,江苏省肿瘤医院放疗科收治1例食管癌放化疗后患者。入院检查发现经外周置入中心静脉导管(PICC)置管静脉出现血栓性静脉炎,在对症处理期间,患者化疗后发生Ⅳ度骨髓抑制,并发耐甲氧西林金黄色葡萄球菌感染。在感控科、静脉治疗学组会诊、专业指导后,经过21 d的精心治疗与护理,患者复查细菌培养转阴出院。患者在家休养22 d后再次入院,复查血栓消退,并成功保留PICC导管用于后续化疗。In June 2023,a patient with esophageal cancer after radiotherapy and chemotherapy was admitted in the radiotherapy department of Jiangsu Cancer Hospital.It was found that thrombophlebitis occurred in the peripherally inserted central catheter(PICC)catheterization vein during admission examination.During the symptomatic treatment,the patient occurredⅣdegree bone marrow suppression after chemotherapy,and complicated with methicillin-resistant Staphylococcus aureus infection.After consultation and professional guidance of the infection control department and the intravenous therapy group,and 21 d of careful treatment and nursing,the patient was discharged from the hospital after bacterial culture turned negative.The patient was re-admitted after 22 days of recuperation at home,and the thrombus subsided at re-examination,and the PICC catheter was successfully retained for subsequent chemotherapy.

关 键 词：血栓性静脉炎 食管癌 耐甲氧西林金黄色葡萄球菌 经外周置入中心静脉导管 

分 类 号：R654.4[医药卫生—外科学]