目的　探讨皮下植入式化疗泵在作胃肠肿瘤局部化疗时的并发症及预防措施。方法　对 1996年 1月至 2 0 0 1年 6月收治的 3 56例胃肠道肿瘤病人共植入化疗泵 53 2个 ,包括动脉泵 40 4个 ,静脉泵 12 8个。其中植入 1个泵 2 50例 ,2个泵 10 5例 ,3个泵 2 4例。植泵后观察化疗泵作局部化疗时的并发症及防治情况。结果　3 56例病人中出现各种并发症 62例 ,发生率为 17.4%。其中早期 2 5例 ,包括皮下积液、局部感染等。后期 3 7例 ,包括导管不畅、导管堵塞等。结论　皮下植入式化疗泵的并发症多因操作使用不当引起。随着经验的增加 ,其并发症是可以预防的 Objective To investigate the complications and preventive measures of subcutaneous implantable chemotherapy pump in the local chemotherapy of gastrointestinal tumors. Methods A total of 532 chemotherapy pumps were implanted into 3 56 gastrointestinal cancer patients admitted between January 1996 and June 2001, including 40 4 arterial pumps and 12 8 intravenous pumps. There were 50 cases of 1 pump, 10 cases of 2 pumps and 24 cases of 3 pumps. Observed after chemotherapy pump chemotherapy for local chemotherapy complications and prevention and treatment. Results There were 62 cases of various complications in 3 56 cases, the incidence rate was 17.4%. Including early 25 cases, including subcutaneous fluid, local infection. Post-37 cases, including poor catheterization, catheter blockage. Conclusion The complications of subcutaneous implantable chemotherapy pump are often caused by improper operation. As experience increases, complications can be prevented