小児における皮下埋め込み式中心静脈カテーテルの使用経験 : 合併症を中心として

概要

論文の詳細を見る
If children require repeated prolonged venous access system, it is accepeted that totally implantable venous access systems improve the patients' tualty of life and reduce the rivks of compications. Twenty two patieqts [15 wlth leukemia, six with other malignant tumor and one with congenital nephrotic syndromel ranging in age from two months to 16 years were under went percutanerus placement of totally implantable venous access system in 23 times. The mean duration of catheter function was 269 days [range of 31-639 days] , with cumulative experience of 5,922 days of catheter use. There were three complications, one infection, one catheter thrombos and one skin necrosis [tivvue break down] required catheter removal. Complication rate for infection was 0.017 per 100 days of catheterization as well as for thrombosis. Totally implantable venous access systems enhance the abillity to infuse long term hyperral imentation, chemotherapy and blood products and to withdrew blood frequently, besides they have a low complication rate.
日本小児外科学会の論文
1992-10-20