摘要目的：探讨经腋静脉植入输液港的临床应用及护理效果。方法回顾2014年9月—2015年12月肿瘤科接受超声引导下经腋静脉植入输液港的恶性肿瘤患者1263例的临床资料，观察植入方法应用和护理的效果。结果术前拟经腋静脉植入输液港1325例，实际置管成功1263例，成功率95．3％，62例失败，改为颈内静脉植入，平均置管时间10．5 min；使用期间导管堵塞3例，尿激酶负压溶栓后再通，继续使用，局部感染2例，取港后改为 PICC 给药，无血栓、导管夹闭综合征、导管断裂、港体翻转等严重并发症，并发症发生率为0．4％。结论经腋静脉植入输液港穿刺成功率高，置管时间短，可作为新的入路选择；术后建立导管的标准化、同质化全程管理制度，加强护理人员导管维护培训，在使用和维护过程中注意细节，可以减少输液港的并发症，保证其长期正常使用。

abstractsObjective To evaluate the clinical application and nursing effect of implantable venous access ports via the axillary vein.Methods From September 2014 to December 2015,1 263 cases of malignant tumor patients were implanted implantable venous access ports via the axillary vein under ultrasound guidance in Oncology Department of our hospital.The effects of the application of implantation method and nursing were observed.Results The 1 325 cases underwent implantable venous access ports via the axillary vein with 1 263 cases catheterization succeeded,and the success rate is 95.3%.For 62 failed cases,the internal jugular vein catheterization were carried out instead.The average time of implantation time was 10.5 minutes.For the 3 cases of catheter blockage,they were reused after recanalization using thrombolysis under negative pressure with urokinase;for the 2 cases localized infection,the ports were removed and the drug were injected through PICC;no serious complications,namely thrombosis,pinch-off syndrome,catheter disconnection,port body flips et al,happened.Conclusions Implantable venous access ports via the axillary vein with the features of high success ratio,short operating time,can be used as a new selection of port implantation.By establishing the standardization and homogenization of the whole catheter management system postoperatively,strengthening catheter maintenance training for nursing staff,and focusing on the details of the process of operation and maintenance,the complications of infusion port can be reduced,so as to keep the port using for a longer time.