Patients with cancer of peripherally inserted central catheter care chemotherapy.doc

 PAGE \* MERGEFORMAT 13 Patients with cancer of peripherally inserted central catheter care chemotherapy Of: Xu Yanping, Li Chunmei, Ding Dejie [Keywords:] cancer chemotherapy; peripherally inserted; central venous catheter Chemotherapy is one of the primary means of treatment of malignant tumors, but the long cycle of chemotherapy, severe side effects of chemotherapy drugs, drugs in patients with unbearable pain of extravasation and repeated puncture, in order to reduce the patient’s discomfort, the successful completion of the chemotherapy cycle, the establishment of A good venous access is essential. peripherally inserted central catheter (PICC) has a good safety, damage the small, simple operation, the success rate of intubation, the patient is easy to accept, etc., has been widely in clinical application [1]. our department from February 2008 to August 2009 used a total of 58 patients PICC Zhi tube chemotherapy, now nursing are described below. Clinical data 1. General information the 58 cases, including 37 males and 21 females, aged 18 to 72 years, mean age was 51.5 years, of which 15 cases of lymphoma, 12 cases of rectal cancer, 11 cases of breast cancer, lung cancer, 7 cases 7 cases of gastric cancer, nasopharyngeal cancer liver metastases in 4 cases, 2 cases of multiple myeloma. intubation time was 40 to 105 days, the average catheter time was 52 days, the first success of cannulation in 56 cases, 2 cases of lateral change of home management success, a success rate of catheterization was 96.6%. 2. Intubation method (1) selection of materials preparation for the United States Bard PICC catheters produced a catheter model 5 Fr, sterile gloves, a payment, disinfection yarn 2 side pieces, a pair of disposable 20 ml syringe, 0.9% sodium chloride injection 10 ml solution of 2, 2% iodine, 75% alcohol, sterile cotton swab, tourniquet, cushions, mats and towels, tape, disposable applicator, tape, sterile treatment plate. (2) the patient’