Central Venous Catheter-Related Complications in Pediatric Cancer Patients Undergoing Intensive Chemotherapy.
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概要
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We evaluated the central venous catheter (CVC) -related complications in 37 children with various types of cancer who were receiving intensive chemotherapy and subsequent autografts with blood stem cells. The age of the patients ranged from 1 to 18 yrs, with a median of 8.5 yr. The CVC was used for the administration of drugs and blood sampling. The mean duration of catheter placement was 98 (3-260) days, and in 30 of 50 placements (60%) the procedure had achieved initial purpose without interruption. Infectious complications occurred in 124 occasions, of which 21 occasions had culture-proved bacteremia. In 5 occasions (10%) resistant to antibiotics therapy, CVC was removed. Occlusion of the CVC developed in 1.8 cases per placement. In 5 cases, the attempt to open the catheter with 10, 000 units of urokinase failed and the CVC was removed. The data support the notion that the use of CVC is a reliable procedure, associated with manageable morbidity in children receiving intensive chemotherapy.
- 特定非営利活動法人 日本小児血液・がん学会の論文
特定非営利活動法人 日本小児血液・がん学会 | 論文
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