周围插入的中央静脉导管相关并发症在患有血液恶性病的成年患者
Kee Wei Lee1, Chin Sum Cheong1, Gan Gin Gin1
1Department of Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
The Malaysian journal of medical sciences : MJMS
|May 2, 2024
概括
在血液癌症患者中,外围插入的中央静脉导管 (PICC) 具有很高的并发症率,特别是急性白血病患者的感染. 这强调了需要更好的干预措施来改善结果.
科学领域:
- 医疗器械 医疗器械
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
背景情况:
- 周围插入的中央静脉导管 (PICC) 对于血液性恶性瘤的长期静脉治疗至关重要.
- 增加PICC使用与感染和血栓形成等并发症的增加相关,影响患者的发病率和住院时间.
研究的目的:
- 为了确定与PICCs相关的并发症发生率在血液恶性瘤患者.
- 确定在这个患者群体中导致PICC相关并发症的因素.
主要方法:
- 在一个单一的学术机构进行前性队列研究.
- 包括接受新插入PICC的血液性恶性瘤的成年患者.
- 观察至少60天,以评估感染,血栓形成和机械问题.
主要成果:
- 在85名患者中发现了119例PICC;55%被诊断为淋巴瘤.
- 整体并发症发生率为58.0% (每1000个导管日6.9%).
- 感染并发症发生在36.1%,机械并发症发生在21.1%,血栓并发症发生在0.8%.
- 诊断出急性白血病与较高的PICC感染率有关.
结论:
- 血液性恶性瘤患者的PICC并发症率超过了其他研究报告的比率.
- 患有急性白血病的患者面临着明显更高的PICC相关感染风险.
- 强调需要有针对性的干预和根源原因分析,以减轻并发症和改善患者护理.
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