肿瘤患者pic相关上肢静脉血栓及其危险因素的研究.pdfVIP

Abstract theincidenceand timeof Objective：Toinvestigate averagehappeningupperextremity central the veinthrombosisassociatedwith inserted peripherally ofcancer withPICCs．Todeterminetheriskfactorsof prospectiveinvestigationpatients thrombosiswiththeaimof evidencefor PICCrelated vein providing upperextremity thrombosis． clinicalinterventiontodecreasetheincidenceofPICCrelated Methods：FromtoDecember,2009，we thecancer May prospectivelyinvestigated their thePNEN of UnionMedical whohad PICCsin Peking patients department our collectedallthe whomettheadmissioncriteriaof CollegeHospital．We patients study． Wefollowedthese foronemonth recordedtheinformation up patients prospectively,and when hadtheirPICCsinsertionandtheir weekwe information．Every they general their withPICC colorultrasoundandrecordedthe checked upperextremity usingDoppler differencesinthe examinationresultsandthe associatedconditions．The patients’other forstatistical incidenceofthrombosisbetweendifferent wereexamined groups with and was foridentification applied significancechi·squarelogisticregressionanalysis oftheriskfactorsofPICCrelatedthrombosis． totheselected cancer werestudiedinour criteria，125 Results：According patients research．Of werefollowedforatleastonemonth．Attheendofthe these，101 patients up ofthe monthafterPICC foundtohavethrombosis．Theincidence insertion，50．5％were incidenceofthe I classthrombosiswhich bloodstreamwas24．8％：the changed only was oneoftheIIIclass IIclasswhichblockedofthebloodvascular12．9％：the part blockedthewholebloodvascularwas12．9％．The time whichalmost averagehappening ofPICCrelated veinthrombosiswas11．80+7．206the101cancer upperextremity day．Of orthrombosisand6casesofthemsuffered phlebitis symptom patients，23 22．8％ had fromsevere 11．8％oftheoneswhohadPICCrelated upperextremityswelling,covering factorsof thrombosis．Multi-factor showedthattherisk logisticregressionanalysis upper of veinthrombosisassociatedwithPICCwerelessamount extremity physicalactivity ri