血液性恶性瘤患者的短期和长期中央外周插入导管:临床结果和安全性. 单一的体验中心体验中心
Carlos Gómez Calcetero1,2, Juanita Granados Diaz1, Adriana Aya Porto2,3
1Clinical Functional Unit of Leukaemia, Lymphoma and Myeloma, Luis Carlos Sarmiento Angulo Cancer Treatment and Research Centre (CTIC), Bogotá 110141, Colombia.
Ecancermedicalscience
|March 4, 2026
概括
这项研究分析了通过外围插入的中央导管 (PICC) 或中线导管 (MC) 接受化疗的血液恶性瘤患者的并发症. 关键的并发症包括导管相关的血栓和血液感染,每1000个导管天的病例详细说明.
科学领域:
- 血液学 血液学 血液学
- 血管接入装置 血管接入装置
- 瘤学 护理 护理专业
背景情况:
- 血液性恶性瘤需要长期的血管接入用于化疗和支持性护理.
- 周边插入的中央导管 (PICC) 和中线导管 (MC) 常用于此类治疗.
- 描述与这些设备相关的并发症对于患者安全和护理优化至关重要.
研究的目的:
- 为了表征患有血液恶性瘤的患者群体,接受PICC或MC植入.
- 描述该队列中与PICC和MC相关的并发症的发生率和类型.
- 提供关于每1000个导管日发生血栓形成和血液感染的并发症率的数据.
主要方法:
- 从2022年7月到2024年,对患有血液恶性瘤的患者进行了回顾性描述性研究.
- 从血管接入和感染控制数据库收集的数据.
- 分析包括频率,百分比,中位数,四分区间范围和每1000天的事件率.
主要成果:
- 156名患者经历了249次事件;大多数设备是高流量,双光,并插入部部位.
- 淋巴瘤的中位数是67.5天,急性白血病的中位数是24天.
- 导管相关的血栓形成率为3.2% (0.31每1000天);导管相关的血液感染率为3.7% (0.83每1000天).
结论:
- 一种多学科的方法,包括静脉评估和患者教育,至关重要.
- 坚持护理协议和强大的支持网络可以最大限度地减少并发症.
- 这些策略有助于减少护理的变化和降低并发症率.
相关概念视频
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
01:24Hemodialysis II: Procedure and Complications
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...