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中文摘要：
目的分析植入式静脉输液港（central verlous port Access system,VAP）临床应用并发症发生的原因,探讨处理及预防措施。方法回顾性分析87例肿瘤患者进行VAP植入化疗,并行局部护理和管腔通畅护理等,总结并发症例数及原因。结果 87例患者中,植入置管失败2例,置管成功率为97.70%。17例出现并发症,发生率为19.54%。近期并发症4例,其中术后气胸1例、切口感染1例、局部血肿1例、导管锁松脱致局部渗液1例;远期并发症13例,其中输液障碍7例、导管相关性感染3例、导管夹闭综合征3例。结论加强医务人员规范化培训、穿刺植入前对患者进行全面评估和提高置管医生的穿刺技术有利于减少VAP近期并发症的发生;植入后的精心护理可有效减少VAP临床应用远期并发症的发生。
英文摘要：
Objective To analyze the causes of common complications in applying central venous port access system （VAP）,and to explore the treatments and preventive measures. Methods Retrospective analyses were done on the data from 87 patients with tumor that were treated with VAP. The local nursing and anti-obliteration nursing were analyzed,and the incidence and causes of complications were summarized. Results Among the 87 patients,catheter implantation failed in 2 cases and the success rate was 97.7%. Seventeen patients （19.54%） had complications. Four cases were short-term complications,including 1 case of postoperative pneumothorax,1 case of wound infection,1 case of hematoma,and 1 case of catheter lock loosening caused by local exudate. Thirteen cases were long-term complications,including 7 cases of transfusion disorder,3 cases of catheter-related infection and 3 cases of catheter occlusion syndrome. ConclusionsThe measures of strengthening the standard train on medical personnel,comprehensive assessment of patients before implantation,improving doctor＇s implantation technique and intensive care after implantation can reduce effectively the long-term complications after VAP application.
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