Đánh giá tình trạng thoát mạch trên bệnh nhân ung thư điều trị hóa chất tại khoa nội 5 Bệnh viện K năm 2020

Describe of chemotherapy-induced extravasation in patients who underwent chemotherapy at National Cancer Hospital.Patients and methods: A prospective decriptip on 40 patients receiving chemotherapy at the Department of Medical Oncology 5, K Hospital from January 1st to October 31st in 2020. Results: Patients enrolled in the study had a mean age of 50.5 years and the majority (82.5%) were under 60 years old. 65.0% of patients had small and thin vessels. Common symptoms of extravasation were swelling (100.0%), pain at the site of extravasation (87.5%), hot swelling (77.5%), redness (60.0%), and the majority of patients (75.0%) had a small lesion whose diameters were less than 2cm. The most common site of extravasation was opisthenar (72.5%) and 50.0% of the cases did some moves during infusion. All patients had symptoms relieved after intervention. The most common extravasation sequelae was induration, accounting for 97.5%.Conclusion: Medical nurses need improving their technique of intravenous infusion as well as choosing the appropriate site of infusion, special attention and care should be given to patients prone to extravasation who had small, thin and difficult-to -obtain vessel.