下肢外围插入的中央导管放置外阴到上升的腰静脉:一个病例报告
Xiao-Ju Zhu1, Ling Zhao1, Na Peng1
1Cancer Center, Daping Hospital, Army Medical University, Chongqing 400042, China.
World journal of clinical cases
|April 5, 2024
概括
周围插入的中央导管 (PICC) 在下肢是安全的和可行的瘤患者上静脉综合征 (SVCS). 这一案例突显了宫外静脉在上升的腰部静脉中的位置,为临床实践提供了新的视角.
科学领域:
- 血管接入 血管接入
- 在瘤学瘤学.
- 干预性放射学 干预性放射学
背景情况:
- 周围插入的中央导管 (PICC) 对需要静脉注射治疗的瘤患者至关重要.
- 上腔静脉综合征 (SVCS) 需要替代静脉接入策略,通常有利于下肢静脉穿刺.
- PICCs在下肢的宫外放置,例如上升的腰部静脉,呈现出独特的临床场景.
研究的目的:
- 报告一个子宫外下肢PICC在上升的腰部静脉中的病例.
- 在SVCS患者中证明下肢PICC导管的安全性和可行性.
- 为临床PICC静脉穿刺提供替代观点.
主要方法:
- 一个病例报告,一名58岁的男性患有肺癌和SVCS.
- 由于SVCS,进行了下肢静脉穿刺.
- 在程序之前获得了知情同意.
主要成果:
- 成功地将一个外围插入的中央导管 (PICC) 放置在下肢,异位于上升的腰静脉.
- 患者经历了症状缓解,并得到了出院.
- 该程序验证了这种方法的安全性和可行性.
结论:
- 阴道下静脉导管,包括宫外放置,对于患有SVCS的癌症患者来说,这是一个罕见但重要的考虑因素.
- 下肢PICC安置在复杂的SVCS病例中提供了可行的替代静脉通道.
- 这一案例扩大了在具有挑战性的临床场景中对PICC导管治疗的理解.
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