3种通路输注甘露醇静脉外渗的比较

The Comparative Study of Extravasation on three Kinds of Pathways of Intravenous Mannitol Injectionin in Children

目的:探讨最适宜患儿输入20%甘露醇的静脉通路。方法:对在我院入住并输入20%甘露醇的352例患儿静脉外渗的情况进行回顾性分析。依照输入通路,分别将经头皮静脉输入20%甘露醇患儿设为A组,经四肢静脉输入20%甘露醇患儿设为B组,经中心/腋静脉输入20%甘露醇患儿设为C组。比较3组患儿静脉外渗的发生情况。结果:C组患儿静脉外渗率低于B组(P<0.05),B组患儿静脉外渗率低于A组(P<0.05)。结论:采用中心/腋静脉输入20%甘露醇患儿静脉外渗发生率最低,儿童静脉输入20%甘露醇应首先考虑中心/腋静脉通路。

Objective： To discuss the most suitable venous channel of 20% mannitol injection for children . Method：Divided 352 children with injected 20% mannitol into three groups：Children were injected through scalp vein in group A; while Limb vein in group B; and center or axillary vein in group C;then we compared the occurrence rate of intravenous extravasation in 3 groups. Result： The occurrence rate of intravenous extravasation of group C was less than group B （P 〈 0.05 ）, and the rate of group B was less than group A （ P 〈 O. 05 ）. Conclusion： The occurrence rate of intravenous extravasation is the lowest when inject 20% mannitol through center or axillary vein for children, so center or axillary vein should be the most suitable venous channel for children patients to inject 20% mannitol.