国际病理科学与临床杂志2017，Vol.37Issue(2)：241-244,4.DOI:10.3978/j.issn.2095-6959.2017.02.004
儿童与成人急性白血病患者外周静脉留置中心静脉导管置管并发症的差异
Difference of complications of peripherally inserted central catheters in children and adult acute leukemia patients
王亚丽 1张丽军 2成志勇 2付建珠 2张金金 2穆敬 2田燕 3张红4
作者信息
- 1. 保定市第一医院营养科,河北保定071000
- 2. 保定市第一医院血液内科,河北保定071000
- 3. 保定市第三中心医院外科,河北保定071000
- 4. 保定市第一中心医院肾内科,河北保定071000
- 折叠
摘要
Abstract
Objective:To compare the complication rate of peripherally inserted central catheters (PICC) in children and adult acute leukemia patients,and make a better application with treatment strategies in patients.Methods:Fifty two cases of children and 100 cases of adult acute leukemia patients were selected with PICC before chemotherapy.The incidence of the different complications of PICC with children and adult acute leukemia patients were observed.Results:The complication rate was 55.8％ in children acute leukemia after PICC,which was significantly higher than that of adult acute leukemia patients (39.0％,x2=3.89,P＜0.05).The incidence of infection rate was 36.5％ vs.21.0％ (x2=4.26,P＜0.05);the catheter occlusion rate was 23.1％ vs.11.0％ (x2=3.89,P＜0.05);the incidence of mechanical phlebitis was 19.2％ vs.5.0％ (x2=7.79,P＜0.05);the average tube indwelling day was 98.7±58.7 vs.130.6±71.8 (t=2.76,P＜0.01);the unplanned catheter removal rate was 17.3％ vs.5.0％ (x2=4.81,P＜0.05).Conclusion:The occurrence of complications and the average tube indwelling day between the children and adult acute leukemia patients after PICC are different,which may be associated with different cooperative degree and age characteristics.关键词
急性白血病/外周静脉留置中心静脉导管/并发症/儿童/成人Key words
acute leukemia/tumor/peripherally inserted central catheter/complication/children/adults引用本文复制引用
王亚丽,张丽军,成志勇,付建珠,张金金,穆敬,田燕,张红..儿童与成人急性白血病患者外周静脉留置中心静脉导管置管并发症的差异[J].国际病理科学与临床杂志,2017,37(2):241-244,4.
