骨内输液及其在院前现场救治中的应用

Intraosseous infusion and its use in pre-hospital care

院前救治中,建立外周静脉通道对于外周静脉塌陷的患者及婴幼儿十分困难。作为替代途径,骨内输液技术由于建立所需时间短,安全可靠,容易掌握,在国外院前救治中的作用日益显著,已被广泛应用。相比之下,国内在这一领域的研究还十分有限,骨内输液技术在国内的应用还主要局限于儿科,因此有必要回顾近几十年来这一领域的研究、发展以及创新,以引起国内对骨内输液技术的关注,发现其应用于国内现场救治的价值。本综述从原理、安全性、部位及效率方面详细介绍了骨内输液技术,列举了国外主流的骨内输液设备,探讨了骨内输液技术应用于国内院前救治的可行性。

For infants and patients with collapsed veins ,it would become quite difficult to establish periph-eral venous access at pre-hospital care period .As an alternative access ,intraosseous infusion has been widely used during pre-hospital care in foreign countries .Since it is easy to master ,quick to establish ,safe and reliable ,intrao-sseous infusion has become more and more important during pre-hospital care.In contrast,the researches in this field in our country are still very limited ,and intraosseous infusion is predominantly used in pediatrics in our coun-try.So it is necessary to review the researches ,developments and innovations in this field to arouse interests in this field and to discover the potential value of this technique in domestic pre -hospital care .We provided a systematic review on the principle ,safety,infusion site and efficiency of intraosseous infusion ,listed the currently used IO infu-sion devices and discussed the possibility of applying intraosseous infusion technique in domestic pre -hospital care .