Study on the diagnosis and treatment for PICC-related sepsis in patients with breast cancer

XING Lei; KONG Ling-quan; LI Hong-yuan; REN Guo-sheng; LUO Feng; WU Kai-nan

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Study on the diagnosis and treatment for PICC-related sepsis in patients with breast cancer

更新时间：2024-01-17

- Study on the diagnosis and treatment for PICC-related sepsis in patients with breast cancer
- Journal of Chongqing Medical University Vol. 36, Issue 12, Pages: 1519-1521(2011)
- 作者机构：
  
  重庆医科大学附属第一医院内分泌乳腺外科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R473.73
- Published：2011，
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[1]邢雷,孔令泉,厉红元,任国胜,罗凤,吴凯南.乳腺癌患者携带PICC化疗并发导管相关性败血症的临床诊治探讨[J].重庆医科大学学报,2011,36(12):1519-1521.

XING Lei, KONG Ling-quan, LI Hong-yuan, et al. Study on the diagnosis and treatment for PICC-related sepsis in patients with breast cancer. [J]. Journal of Chongqing Medical University 36(12):1519-1521(2011)
[1]邢雷,孔令泉,厉红元,任国胜,罗凤,吴凯南.乳腺癌患者携带PICC化疗并发导管相关性败血症的临床诊治探讨[J].重庆医科大学学报,2011,36(12):1519-1521. DOI：

XING Lei, KONG Ling-quan, LI Hong-yuan, et al. Study on the diagnosis and treatment for PICC-related sepsis in patients with breast cancer. [J]. Journal of Chongqing Medical University 36(12):1519-1521(2011) DOI：

摘要

目的:探讨乳腺癌患者携带经外周中心静脉置管（Peripherally inserted central catheters

PICC）化疗期间PICC导管相关性败血症的临床诊断和防治。方法:回顾性分析我院2009年8月-2011年9月携带PICC化疗的215例乳腺癌患者中PICC导管相关性败血症的发生及其诊治情况。结果:3例携带PICC化疗的乳腺癌患者分别在PICC置管后29、73 d和108 d（平均70 d）出现PICC导管相关性败血症

其发生率为1.39%

发病密度为0.16/PICC置管1 000 d（0.16‰）。结论:乳腺癌患者化疗期间携带PICC化疗是一种安全有效的方法。但少数病例有可能出现PICC导管相关性败血症

应注意观察相关症状和体征

早期发现、对临床表现疑似PICC导管相关性败血症患者不应拘泥于血培养结果

及时拔除PICC管

患者多能获得较好的疗效。

Abstract

Objective:To study the diagnosis and treatment for PICC-related sepsis in patients with breast cancer during chemotherapy.Methods:The data of the diagnosis and treatment for PICC-related sepsis in 215 patients with breast cancer during chemotherapy were retrospectively analyzed.Results:Three(1.39%) of the 216 PICCs were removed as a result of PICC-related sepsis in 29

73 and 108 catheter-days

with a rate of 0.16 per 1 000 catheter-days.Conclusion:Application of PICC in patients with breast cancer during chemotherapy is safe and effective.However some patients may develop catheter-related sepsis.In order to get a good therapeutic effect

we should pay attention to the symptoms and signs besides the blood culture results and treat it timely.

关键词

乳腺癌化疗经外周中心静脉置管导管相关性败血症

Keywords

breast cancerchemotherapyPICCsepsis

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