外周静脉留置针与外周置入中心静脉导管在肿瘤化疗中的应用价值比较临床医学.docVIP

外周静脉留置针与外周置入中心静脉导管在肿瘤化疗中的应用价值比较临床医学 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：外周静脉留置针与外周置入中心静脉导管在肿瘤化疗中的应用价值比较临床医学 1 1 对象与方法 3 2 结果 4 2．2 两组并发症及处理比较 4 3 讨论 5 文2：经外周置入中心静脉导管用于肿瘤化疗的临床观 7 1 资料与方法 8 2 结果 8 3 护理 8 4 讨论 10 参考文摘引言： 11 原创性声明（模板） 12 文章致谢（模板） 12 正文 外周静脉留置针与外周置入中心静脉导管在肿瘤化疗中的应用价值比较临床医学 文1：外周静脉留置针与外周置入中心静脉导管在肿瘤化疗中的应用价值比较临床医学 Abstract： Objective To investigate the application of peripherally ierted central catheter (PICC) catheterization to the chemotherapy of malignant tumor, and to compared it with peripheral vein Sixty patients were randomly divided into two groups, . peripheral vein catheterization group (Group A, n=40) and PICC group (Group B, n=20). The remaining time of cathete, the complicatio and the daily living activity were assessed and compared between the two groups. Results Medium time of keeping catheter was 3 days (1-5 days) in Group A and 157 days (15-280 days) in Group B (P). The complicatio were observed, including 18 cases of blood infiltration in Group A and 4 cases in Group B, 29 cases of phlebitis in Group A and 1 case in Group B, 10 cases of occlusion in Group A and none in Group B. The patients in Group A needed aid for daily living activity by care provide, while the patients in Group B didn’ PICC is safe and can be kept for longer time. As a catheterization, it has higher clinical value on the chemotherapy of the patients with tumor and on the improvement in their living quality, and is quite worthy of popularization. Key words： peripheral vein catheterization; peripherally ierted central catheter; tumor; chemotherapy 化疗是肿瘤内科治疗恶性肿瘤的重要手段，临床常用的给药途径是反复浅静脉穿刺给药。由于化疗药物对血管的刺激，将不可避免地造成血管损伤，如操作不当还可使化疗药物外渗，造成局部组织坏死，甚至影响化疗的顺利进行。随着医疗技术的 发展 ，肿瘤病人化疗药物的静脉给药方法变得多样且不断更新[1]。外周置入中心静脉导管（penpherally ierted central catheter，PICC）自1992年德国医生Fomaon首次使用以来，因其方便、有效和安全的特点而被广泛使用，与传统的深静脉穿刺相比PICC置管具有创伤小、操作简便、留置时间长和并发症少的特点，常用于需长期输液或输注刺激性、高渗透性及黏稠性药物的患者。2006年1月—2007年4月，我院在对肿瘤病人静脉化疗过程中采取了经外周静脉留置针与PICC置管两种途径注射，现将观察与记录结果报告如下。 1 对象与方法 对