中枢静脈カテーテルにおける血栓性および感染症性合併症の関係
1Department of Medical Specialities, University of Texas M. D. Anderson Cancer Center, Houston 77030.
JAMA
|April 6, 1994
まとめ
がん患者の長期にわたる血管カテーテル使用は,しばしば血栓合併症につながり,カテーテル化された静脈のほぼ半数は病理的な変化を示しています. これらの血栓性イベントは,カテーテル関連のセプシスの発症と有意に関連しています.
科学分野:
- 腫瘍学 腫瘍学
- 血管外科 血管外科
- 感染症 感染症は感染症です.
背景:
- 血管系カテーターの長期使用は,治療の提供のためにがん患者の間で一般的です.
- 血管キャセターは,血栓や感染症を含む深刻な合併症と関連することがあります.
研究 の 目的:
- 長期にわたる血管カテーテルを使用したがん患者の血栓性および感染症合併症の発生率を決定する.
- 血栓性合併症と感染症合併症の関係を調査する.
主な方法:
- 三級がんセンターで遡及的ケースシリーズが実施されました.
- カテーテル付き静脈と逆側静脈の死後の検査は,72人のがん患者で実施されました.
- カテーテル関連の結血病と静脈の病理学的変化に関するデータが収集されました.
主要な成果:
- 病理的変化は,カテーテル化された静脈の49%で,対照静脈の9.2%で観察されました (P < .001).
- カテーテリズされた静脈の38%で壁血栓が発見され,対照群の1.4%と比較した (P < .001).
- 7人の患者 (9.7%) がキャセター関連性血症を発症し,これは壁血栓症 (P < .01) と有意に関連していました.
結論:
- 血栓合併症は,がん患者のカテーテリズド静脈で頻繁に見られます.
- カテーテル化静脈における血栓形成は,しばしばカテーテル関連性症と関連しています.
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