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目的观察分析乳腺癌化疗患者PICC置管并发症的发生情况及影响因素,为临床提供指导。方法抽取来我院治疗的200例乳腺癌化疗患者(2012年10月~2015年12月)作为本次实验的目标对象,对200例乳腺癌化疗患者的临床资料进行回顾性分析,200例乳腺癌化疗患者均实施PICC置管,观察分析200例乳腺癌化疗患者并发症的发生情况及影响因素。结果 200例乳腺癌化疗患者中,4例患者发生感染,5例患者发生静脉炎,1例患者发生静脉血栓,2例患者发生局部渗血,3例患者发生导管堵塞,4例患者发生导管脱出或异位,11例患者发生管腔破裂或漏液,其并发症发生率为15.00%。结论乳腺癌化疗患者PICC置管发生的并发症主要为感染、静脉炎、静脉血栓、局部渗血、导管堵塞以及导管脱出或异位等,为减少并发症的发生,护理人员在对患者实施护理操作时应严格按照相关要求进行,并告知患者相关的注意事项,加强对患者进行巡视。
Objective To observe and analyze the occurrence and influencing factors of PICC catheter complications in breast cancer patients and provide guidance for clinical practice. Methods Totally 200 breast cancer patients treated in our hospital (October 2012-December 2015) were selected as the target of this study. The clinical data of 200 patients with breast cancer were retrospectively analyzed. 200 breast cancer patients PICC catheterization was implemented in patients with cancer chemotherapy, and the incidence and influencing factors of complications in 200 patients with breast cancer were observed and analyzed. Results Four out of 200 patients with breast cancer were infected with infection, 5 with phlebitis, 1 with venous thrombosis, 2 with local bleeding, 3 with catheter blockage, and 4 with catheter prolapse Or ectopic, 11 cases of lumen rupture or leakage, the complication rate was 15.00%. Conclusion The main complications of PICC catheterization in patients with breast cancer chemotherapy are infection, phlebitis, venous thrombosis, local bleeding, catheter blockage and catheter prolapse or ectopic, etc. In order to reduce the incidence of complications, nurses in the care of patients Operation should be carried out in strict accordance with the relevant requirements, and inform patients of the precautions to strengthen the patrol visit.