恶性胸腔积液引流管堵塞或引流不畅的影响因素

Abstract
Figure/Table
References
Related Citation (6)

Download: PDF (711 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the factors related to blockage of catheter drainage or inadequate drainage for malignant pleural effusion(MPE).Methods One hundred and sixty-one cases of malignant pleural effusion with catheter drainage treated in our hospital between November 2015 and December 2017 were selected. According to the patency of the drainage process, the patients were divided into two groups: the drainage patency group and the blockage or poor drainage group. Information about the two groups was collected, including gender, age, time of catheterization, pleural effusion and catheter status. The related factors of blockage of catheter drainage or inadequate drainage for MPE were analyzed.Results There were 32 cases of blockage of catheter drainage or inadequate drainage. There was no statistically significant difference in the incidence of blockage of catheter drainage or inadequate drainage between patients who were different in sex, age, BMI, primary diseases, complications, anticoagulant and targeted drug use or between patients who received thoracic injection and those who did not (P>0.05). A long duration of catheterization, the mouth of the catheter above the liquid surface, cellulosic membrane and blood clots in the effusion, abnormal counts of platelets and positive hydrothorax protein were risk factors for blockage of catheter drainage or inadequate drainage. Logistic regression analysis confirmed that a high level of liquid surface(OR 2.578,95% CI 1.357-4.846), cellulosic membrane and clot (OR 3.218,95% CI 1.651-10.056), and tube-sealing methods (OR 1.689,95% CI 1.427-4.297) were important risk factors (P<0.05) for blockage of catheter drainage or inadequate drainage in case of MPE.Conclusions Catheter blockage is likely to occur during drainage in case of malignant pleural effusion, and the main risk factors include the elevation of the liquid surface, cellulose membrane and blood clots in the effusion and tube-sealing methods. Corresponding interventions can be implemented according to the above risk factors.

Key words： malignant pleural effusion catheter drainage related factors of blockage

Received: 13 June 2018

ZTFLH:

R734.2

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	MIAO Kailing
	LI Chunyan
	and HOU Huiru.

Cite this article:

MIAO Kailing,LI Chunyan,and HOU Huiru.. Related factors of blockage of catheter drainage or inadequate drainage for malignant pleural effusion[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(9): 857-860.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2018/V29/I9/857

[1]	褚瑞明, 邱福庭, 张亚军,等. 微创性胸腔置管引流加局部注药治疗恶性胸腔积液58例[J]. 中国药业, 2015,24(19):82-84.
[2]	张颖.优质护理服务对胸腔穿刺置管引流治疗结核性包裹性胸腔积液患者的影响[J].河北医药,2016,38(13):2072-2074.
[3]	Fortin M, Tremblay A. Pleural controversies: indwelling pleural catheter vs. pleurodesis for malignant pleural effusions[J].J Thorac Dis,2015,7(6):1052-1057.
[4]	郭亚丽.中心静脉导管置管引流胸腔积液的护理[J].实用临床医药杂志,2014,18(24):194-195.
[5]	Lorenzo M J,Modesto M,Pérez J,et al.Quality of Life assessment in malignant pleural effusion treated with indwelling pleural catheter: a prospective study[J].Palliat Med,2014,28(4):326-334.
[6]	钟红, 黎少英, 张静. 中心静脉导管胸腔内置管引流胸腔积液的应用及护理[J]. 中国药物经济学, 2014,9(7):174-175.
[7]	Yazdanbod A,Salehifar A,Maleki N,et al.Successful use of central venous catheters in the management of recurrent malignant pleural effusions: one new option[J].Support Care Cancer,2015,23(8):2267-2271.
[8]	邓作梅,伊秀英.经外周中心静脉置管(PICC)堵管原因分析和对策[J].赣南医学院学报,2012,32(2):288-290.
[9]	郑庆芳. 中心静脉导管胸腔置管引流在胸腔积液治疗中的应用[J]. 齐齐哈尔医学院学报, 2015,36(14):2109-2109.
[10]	邹雅琴.胸腔穿刺置管引流治疗胸腔积液的护理体会[J].黑龙江医药科学,2011,34(3):96-96.
[11]	蒋礼萍. 中心静脉导管行胸腹腔穿刺置管引流的护理[J]. 深圳中西医结合杂志, 2015, 25(6):157-158.
[12]	张丽,徐淑侠.预见性护理在重度胸腔积液静脉置管引流患者中的应用[J].齐鲁护理杂志,2015,21(17):37-38.
[13]	魏鹏飞.中心静脉导管置管引流治疗渗出性胸腔积液发生堵管时的临床研究[J].中国社区医师(医学专业),2013,15(8):106-107.
[14]	丁秋平,叶志弘,黄玉桃,等.细菌性肝脓肿区域动脉灌注置管导管堵管的危险因素分析及护理对策[J].护理与康复,2015,14(1):57-59.
[15]	Fysh E T,Bielsa S,Budgeon C A,et al.Predictors of clinical use of pleurodesis and/or indwelling pleural catheter therapy for malignant pleural effusion[J].Chest,2015,147(6):1629-1634.
[16]	徐静,邵雪晴.患者肝癌切除术后并发胸腔积液行穿刺置管引流的观察与护理[J].护理实践与研究,2014,11(11):47-48.
[17]	周娟,方凌云.胸腔积液应用中心静脉导管置管引流的舒适护理[J].现代医药卫生,2013,29(12):1883-1884.
[18]	Freeman R K,Ascioti A J,Dake M,et al.A propensity-matched comparison of pleurodesis or tunneled pleural catheter for heart failure patients with recurrent pleural effusion[J].Ann Thorac Surg,2014,97(6):1872-1877.
[19]	赵素芹,卢庆润.护理干预对恶性胸腔积液胸腔置管引流患者生存质量的影响[J].齐鲁护理杂志,2012,18(26):21-22.
[20]	金跃玲.PICC置管堵管原因分析及护理对策[J].现代医院,2014,14(3):84-86.
[21]	Botana R M,Parente L I,Leiro F V,et al.Management of malignant pleural effusion by an indwelling pleural catheter: a cost-efficiency analysis[J].Ann Thorac Med,2015,10(3):181-184.