| 摘要 |
Objective: The aim of this study was to examine the early and late complication rate of totally implantable central venous access ports (TICVAP) for long-term chemotherapy delivering.
Patients and Methods: One thousand five hundred and forty six patients (males 712, females 834) suffering from a neoplastic disease, who required long-term chemotherapy and underwent insertion of implantable ports from July 1997 to June 2002, were retrospectively studied in Mackay Memorial Hospital.
Results: Early complications (n=42, 2.72%) included arterial punctures (n=18, 1.16%), pneumothorax (n=13, 0.84%), port malposition (n=10, 0.65%), pneumohemothorax (n=1, 0.06%). Late complications (n=91, 5.86%) included port malfunction (n=65, 4.20%), infection (n=15, 0.97%), catheter dislodgement or fracture (n=8, 0.52%), port extrysion (n=3, 0.19%). Infection (n=15) was caused by Staphylococcus aureus (n=13, 86.67%), Pseudomonas aeruginosa (n=1, 6.67%), Xanthomonas maltophila (n=1, 6.67%).
Conclusions: Arterial punctures, pneumothorax, port malfunction and infection are the major complications in general oncology patients. Many of these complications can be avoided by attention to specific precautions at the time ofimplantation and by appropriate mainyenance techniques and timely removal of the venous access devices. The experience of the sutgical and nursing staff are probably the most important factors in decreasing the rate of complications. |
