肿瘤预防与治疗2025，Vol.38Issue(11)：998-1005,8.DOI:10.3969/j.issn.1674-0904.2025.11.008
6例乳腺癌患者右胸壁输液港导管断裂分析及应急处置的应用
Analysis and Emergency Management of Port Catheter Fracture in the Right Chest Wall of Six Breast Cancer Patients
马洪丽 1袁慧蓉 1高泽君 1宋玫瑰 1赵丽燕 1杨慧 2李圆圆2
作者信息
- 1. 610041 成都,四川省肿瘤医院·研究所,四川省肿瘤临床医学研究中心,四川省癌症防治中心,电子科技大学附属肿瘤医院乳腺科一病区
- 2. 610041 成都,四川省肿瘤医院·研究所,四川省肿瘤临床医学研究中心,四川省癌症防治中心,电子科技大学附属肿瘤医院护理部
- 折叠
摘要
Abstract
Objective:To investigate the incidence of catheter fracture in breast cancer patients with implantable venous access ports,analyze its clinical warning signs,and evaluate the efficacy of both emergency management protocols and the CICARE(Connect,Introduce,Communicate,Ask,Respond,Exit)communication model in such events.Methods:A ret-rospective study was conducted on left-sided breast cancer patients who received a same-brand implantable venous access port in the right chest wall via the right internal jugular vein at Sichuan Cancer Hospital between January 2022 and December 2023.Data on patient demographics,port implantation,and catheter fractures were collected.Patients were divided into two groups based on the occurrence of catheter fracture:the non-catheter fracture group and the catheter fracture group.Clinical data were collected at the time of catheter fracture.We em-ployed SPSS 23.0 for statistical analysis to compare group characteristics and to assess the emergency response procedure for catheter fracture and the efficacy of the CICARE model.Results:A total of 610 breast cancer patients with right chest wall ports were included in this study.The incidence of catheter fracture was 0.98％(6/610).Among patients with catheter fracture,66.7％presented with the primary manifestations of"an inability to aspirate blood"and"localized swelling during the bolus administration of normal saline".Additionally,One patient(16.67％)had experienced palpitations and retroau-ricular distending pain prior to the detection of the cathetor tracture.Following the implementation of standardized emergency procedures and the CICARE communication model,all 6 patients successfully underwent interventional removal of the frac-tured catheters and port bases,with no postoperative complications such as vascular injury or infection.Conclusion:The in-cidence of catheter fracture in breast cancer patients with right chest wall ports is moderate."An inability to aspirate blood"and"localized swelling during the bolus administration of normal saline"are important early identification symptoms.The standardized emergency procedures ensured the safe removal of the fractured catheters,and communication based on the CICARE mode enables all patients to smoothly cooperate with interventional surgery,achieving successful removal of frac-tured catheters and port bases.The findings of this study offer practical guidance for the clinical management of infusion port catheter fracture in breast cancer patients.关键词
乳腺癌/输液港/导管断裂/应急处置Key words
Breast cancer/Implantable venous access port/Catheter fracture/Emergency management分类
医药卫生引用本文复制引用
马洪丽,袁慧蓉,高泽君,宋玫瑰,赵丽燕,杨慧,李圆圆..6例乳腺癌患者右胸壁输液港导管断裂分析及应急处置的应用[J].肿瘤预防与治疗,2025,38(11):998-1005,8.
