"description of event:on (b)(6) 2022, the patient was admitted to the hospital.On (b)(6) 2022, the infusion port was maintained to draw blood and pass fluid smoothly.The infusion process was smooth without special abnormalities.On (b)(6) 2022, the patient was found to have subcutaneous tissue swelling in the right neck and right chest during the infusion using the port.It was considered to be port catheter rupture.Color doppler ultrasonography was performed, and abnormal echo of the neck catheter was found.It was considered to be catheter rupture.Magnesium sulfate wet compress was given to the neck and chest, and the local edema subsided.On (b)(6) 2022, the venous access port was removed, the port body and catheter were completely removed, and 2 ruptures of the catheter were found.At present, the patient was in stable condition, picc catheter was implanted, and intravenous chemotherapy was performed, and the process went smoothly.This event was common liquid, which did not cause serious event; if it was chemotherapy drugs, it might cause permanent body damage.The patient developed subcutaneous swelling in the right neck and chest after port infusion, which was considered to be exudation caused by port catheter rupture.Color doppler ultrasound showed catheter rupture, which was confirmed to be catheter rupture after removal.Preliminary handling of event: 1.On (b)(6) 2022, the patient was found to have subcutaneous tissue swelling in the right neck and right chest during infusion of the port, which was considered to be port catheter rupture.Color doppler ultrasonography was performed, and abnormal echo of the neck catheter was found, which was considered to be catheter rupture.Magnesium sulfate wet compress was given to the neck and chest, and the local edema subsided.On (b)(6) 2022, the venous access port was removed, the port body and catheter were completely removed, and 2 ruptures of the catheter were found.At present, the patient was in stable condition, picc catheter was implanted, and intravenous chemotherapy was performed, and the process went smoothly.2.The relevant administrative department of the hospital rushed to the scene at the first time after receiving the report of this adverse event and found that the incident of port catheter rupture was true.In this event, the patient infused the infusion into a common liquid, which did not lead to a serious event.At the first time, the ruptured implantable drug delivery device port catheter removed from the patient was preserved for subsequent use to find the cause, and photographed and collected evidence to assist the department in tracing the consumables of this problem.After inquiring the batch number of the consumables and relevant information, the information and pictures were fed back to the supplier and manufacturer.".
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