新型微创穿刺器在野外急救中的应用

Application of new type mnimal invasive paracentesis trocar in field emergency

【目的】评价新型微创穿刺器在野外抢救胸腹部外伤患者的可行性、安全性及优势。【方法】选取2004年6月至2007年8月我院野外急救胸腹外伤病员130例,随机分为微创组和对照组进行穿刺操作,对照组使用传统穿刺器,比较两组间穿刺操作时间及并发症的发生率。【结果】微创穿刺器组较对照组穿刺操作时间缩短,并发症减少(P<0.05)。【结论】新型微创穿刺器较目前临床普遍使用的穿刺器穿刺操作时间缩短,效率明显提高,成功率增高,适用于野外急救。

[Objective] To evaluate the feasibility safe and asvatage of new type minimal invaive paracentesis trocar in patients with chest or obdominal trauma. [Methods] A total of 130 cases of chest or obdominal trauma in field emergency were randomized either to minimal invasve paracentesis trocar method, or to traditional method from June, 2004 to August.2007 and the outcome of the two methods were compared. [Results] 71 cases were treated by minimal invasive method in （30.3 ±7） seconds and 59 cases were treated by traditional plunger in （54.7 ±9.5） seconds.There was a significant difference between the operation time of two groups. [ Conclusion] The new type minimal invasive paracentesis trocar is more accurate and effective than the traditional method applied generally at present.