外周T细胞淋巴瘤患者PICC置管术后合并CRT、CRBSI及菌血症
王娟 周江红 张彩琳 张薇 李婷![](/images/paper/2095-0616/202122/57-1-l.jpg)
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[摘要]化疗是外周 T 细胞淋巴瘤的一线治疗,输注化疗药物时输液选择外周置入中心静脉导管(PICC),置管期间导管相关性感染、血栓形成及菌血症等并发症发生率明显增加。本研究总结1例 T 细胞淋巴瘤 PICC 置管术后合并导管相关性血栓(CRT)、导管相关性血流感染(CRBSI)及菌血症的临床表现、发生过程及护理效果,给予抗感染、抗凝治疗,患肢抬高制动,穿刺处加强换药,密切观察病情,局部湿敷等措施,患者体温恢复正常,右上臂疼痛缓解,血培养阴性。通过对该病例的治疗护理和讨论分析,积累了对 PICC 患者 CRT、 CRBSI 及菌血症的预防及治疗护理经验。
[关键词]外周 T 细胞淋巴瘤; PICC 置管术; CRT; CRBSI;菌血症
[中图分类号] R733.1 [文献标识码] A? [文章编号]2095-0616(2021)22-0219-04
Complicated CRT, CRBSI and bacteraemia after PICC placement in patients with peripheral T-cell lymphoma
WANG? Juan1? ZHOU? Jianghong2? ZHANG? Cailin3? ZHANG? Wei3? LI? Ting3? 1.Department of Head and Neck Surgery Ⅱ , Gansu Provincial Cancer Hospital, Gansu, Lanzhou 730050, China;2.Department of Nursing, Gansu Provincial Cancer Hospital, Gansu, Lanzhou 730050, China;3.Department of Hematology, Gansu Provincial Cancer Hospital, Gansu, Lanzhou 730050, China
[Abstract] Although chemotherapy is the first-line treatment for peripheral T-cell lymphoma ......
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