难以移除完全可植入的静脉接入口:一个案例报告
Jing Chen1, Mu Tang2, Qin-Yuan Han3
1Department of Nursing, Nanchang Medical College, Nanchang 330052, Jiangxi Province, China.
World journal of clinical cases
|May 7, 2025
概括
由于粘附,切除完全植入式静脉接入口 (TIVAP) 可能具有挑战性,特别是在长期使用化疗后. 仔细放置可以预防并发症,并方便提取TIVAP.
科学领域:
- 在瘤学瘤学.
- 血管外科 血管外科
- 医疗器械 医疗器械
背景情况:
- 检查了在长期化疗中移除完全植入式静脉接入口 (TIVAPs) 的挑战.
- 长时间使用TIVAP可以导致诸如曲,血栓形成和组织粘附等并发症.
研究的目的:
- 检查乳腺癌患者的TIVAP切除过程中遇到的困难.
- 确定导致复杂的TIVAP去除的因素.
- 为未来的TIVAP安置提出预防措施.
主要方法:
- 一个乳腺癌患者的病例报告,骨转移和3岁的TIVAP在右侧内静脉中.
- 最初的TIVAP移除尝试由于可疑的粘附而没有成功.
- 在混合手术室使用专用仪器进行了成功的导管拔除.
主要成果:
- 由于导管和周围组织之间存在显著的粘附,TIVAP切除变得复杂.
- 图像学研究没有显示在去除之前的任何异常.
- 使用防蚊子,小心切割并将导管从粘接处分开.
结论:
- 通过内静脉进行TIVAP切除,尤其是在穿越大肌肌肉时,会带来独特的挑战.
- 重复的部运动会加剧粘附,使导管提取变得困难.
- 考虑到潜在的肌肉粘附,战略性的TIVAP放置对于促进长期使用和最终去除至关重要.
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