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目的探讨乳腺癌患者根治术后PICC置管穿刺失败后,采用穿刺点上方3cm处切开组织暴露静脉进行PICC置管的可行性。方法比较采用穿刺点上方3cm横行切开组织暴露静脉进行PICC置管,与常规PICC置管的成功率、导管留置时间和并发症如感染发生率、机械性静脉炎发生率。结果2组患者导管感染率及导管留置时间、静脉炎发生率无明显差异。结论乳腺癌根治术后PICC置管穿刺失败后,采用穿刺点上方3cm处切开组织暴露静脉进行PICC置管的方法是可行的。
Objective To investigate the feasibility of PICC catheterization using 3cm incision above the puncture site after PICC catheter ablation failed in patients with breast cancer. Methods The procedure of PICC catheterization was performed by incision of tissue exposed veins 3 cm transverse to the puncture site. The success rate of conventional PICC catheterization, catheter indwelling time and complication such as infection rate and incidence of mechanical phlebitis were compared. Results The catheter infection rate, indwelling catheter time and incidence of phlebitis in two groups had no significant difference. Conclusions After PICC catheter ablation failed after radical mastectomy, it is feasible to use the tissue exposed vein 3cm above the puncture point for PICC catheterization.