摘要
肺癌是全球范围内最常见的恶性肿瘤之一,其发病率和死亡率均居高不下。肺癌患者在疾病进展过程中可能会出现多种并发症,其中上腔静脉综合征(SVCS)是一种严重的临床情况,通常由肿瘤压迫或侵犯上腔静脉引起,导致头部、颈部和上肢静脉回流受阻,出现颜面水肿、呼吸困难等症状。经皮中心静脉导管(PICC)作为一种有效的静脉通道建立方式,在肿瘤患者的治疗中得到了广泛应用。对于合并SVCS的肺癌患者,PICC的置入不仅可以用于长期化疗、输血及营养支持,还能改善血流动力学,减轻上腔静脉的压力,从而缓解症状。然而,肺癌合并SVCS患者由于解剖结构的改变和血流动力学的异常,PICC置入可能面临更高的风险和挑战。异位是PICC置管过程中以及置管后较为常见的并发症,发生后易造成非计划性拔管、延误患者治疗等严重后果。基于此,本文通过介绍本院1例癌合并SVCS患者PICC置管选择以及发生原发性异位后处理措施,对当前PICC置管路径选择、异位处置相关文献进行了复习并作了汇报。
Lung cancer is one of the most common malignant tumors worldwide,with high morbidity and mortality rates.Lung cancer patients may suffer from a variety of complications during disease progression,among which superior vena cava syndrome(SVCS)is a serious clinical condition usually caused by tumor compression or invasion of the superior vena cava,which leads to obstruction of venous return in the head,neck,and upper limbs,and symptoms such as facial edema and respiratory distress.Percutaneous central venous catheter(PICC),as an effective way to establish venous access,has been widely used in the therapy of tumor patients.For lung cancer patients with combined SVCS,PICC placement can not only be used for long-term chemotherapy,blood transfusion and nutritional support,but also improve hemodynamics and reduce the pressure of the superior vena cava,thus relieving symptoms.However,PICC placement in patients with lung cancer combined with SVCS may face higher risks and challenges due to anatomical changes and hemodynamic abnormalities.Ectasia is a common complication during and after PICC placement,which may cause unplanned extubation,delayed therapy and other serious consequences.Based on this,this article will review the current literature on the selection of PICC placement route and disposition of ectopic by introducing the selection of PICC placement and the treatment measures after the occurrence of primary ectopic in a patient with cancer combined with SVCS in our hospital,and report as follows.
作者
杨莉
YANG Li(Oncology Department,Dangyang City People's Hospital,Dangyang,Hubei 444100)
出处
《智慧健康》
2024年第24期50-52,56,共4页
Smart Healthcare
关键词
肺癌
上腔静脉综合征
PICC
并发症
lung cancer
superior vena cava syndrome
PICC
complications
