探讨骨髓腔穿刺输液在危重症患者抢救中的应用

Research for Clinical Application of Marrow Cavity Infusion for Saving Severe Patients

目的:探讨骨髓腔穿刺输液法在危重患者抢救过程中应用和优势。方法:将52名危重患者分为治疗组与对照组,治疗组为外周静脉穿刺失败3次或时间越过90秒后改行骨髓腔穿刺者,对照组为静脉穿刺患者,两组其它救护措施相同,分别通过通道建立时间、液体的滴速度,和血压上升的时间为观察指标。结果:两组在通道建立时间、抢救有效率方面P<0.05,差异有统计学意义,在血压恢复时间、输液速度方面P>0.05差异无显著性。结论:骨髓腔穿刺输液法,建立输液通道和补液速度快,成功率高、并发症少,在急救中骨通道输液具有安全有效的特性,可代替常规输液。

Objective:To investigate the application and advantage of marrow cavity infusion for saving severe patients.Methods:Totally,52severe patients were divided into control group and test group.Patients in test group were performed marrow cavity who underwent failure three times(or excess90-seconds)of venous detaining catheter puncture,while patients in control group were performed venipuncture.The setting time of infusion access,the drop of transfusion,and the time of blood pressure elevation were observed.Results:Two groups had significant differences in the setting time of infusion access and the effective rate of emergency(P<0.05).However,there were no significant differences in the time of blood pressure recovery and the drop of transfusion(P>0.05).Conclusions:The advantage of marrow cavity infusion is safe for emergency with high rate of success and low complications,which may be substituted for conventional infusion.