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目的探讨妇科肿瘤患者PICC置管并发静脉血栓形成的原因,总结有效的防护对策。方法通过对我院2013年1月至2014年12月112例行PICC置管的妇科肿瘤患者临床资料进行回顾性分析,找出静脉血栓成因和防护对策。结果 112例PICC置管患者中,有4例发生静脉血栓,发生率为3.57%。结论妇科肿瘤患者PICC置管后并发静脉血栓,其原因与患者自身凝血功能、反复穿刺送管、持续机械静脉炎未控以及预防DVT的护理等有关;规范PICC置管流程、重视置管前后的评估、提高置管技术、加强置管后宣教及措施落实,对预防静脉血栓的发生有着非常重要的意义。
Objective To investigate the causes of PICC catheter occlusion in gynecologic oncology patients and to summarize the effective protective measures. Methods The clinical data of 112 patients with gynecologic oncology treated by PICC from January 2013 to December 2014 in our hospital were retrospectively analyzed to find out the cause of venous thrombosis and the protective measures. Results In 112 patients with PICC, 4 patients developed venous thrombosis with a rate of 3.57%. Conclusions PICC patients with gynecologic cancer complicated by venous thrombosis after catheterization, the reasons for the patient’s own blood coagulation, repeated puncture delivery, continuous control of mechanical phlebitis and DVT prevention and other related; standard PICC catheterization process, emphasis on catheter before and after Assessing and improving the technique of catheterization and strengthening the implementation of propaganda and measures after catheterization are very important for preventing the occurrence of venous thrombosis.