骨髓腔穿刺输液在创伤失血性休克患者院前急救中的应用  

作　　者：陈汀劳 冯日祥 吕伟垣 庄君灿[1] 王耐[1] 欧阳兆忠[1] 

机构地区：[1]广东省江门市人民医院,广东529000

出　　处：《当代医学》2015年第17期50-51,共2页Contemporary Medicine

摘　　要：目的探讨骨髓腔穿刺输液在创伤失血性休克患者院前急救中的应用效果。方法选取外周静脉穿刺失败而改行骨髓腔穿刺输液的创伤失血性休克患者62例,为观察组;另选取同期40例创伤失血性休克患者为对照组,入院后行深静脉置管建立通道。比较2组患者的输液通道建立时间、血压回升时间及4 h内治疗疗效。结果院外行骨髓腔穿刺输液组患者成功建立通道及血压出现回升所需时间明显短于入院后行深静脉置管组(P<0.05)。入院后行深静脉置管组治疗有效率为65.0%(26例),院外行骨髓腔穿刺输液组治疗有效率为83.9%(52例),差异具有统计学意义(P<0.05)。结论骨髓腔穿刺输液在创伤失血性休克患者的院前急救中具有积极作用,可作为静脉通路无法建立时的有效替代手段。Objective To investigate the effect of bone marrow infusion in the emergency treatment for patients with traumatic hemorrhagic shock. Methods Selected peripheral venous puncture failure diverted to marrow cavity infusion of trauma hemorrhagic shock in 62 patients with, as the observation group;tube channel establishment other select the same period, 40 cases of traumatic hemorrhagic shock patients as control group, into the hospital underwent deep vein catheterization. To compare the establishment time of transfusion passage, blood pressure recovery time and 4 H therapeutic effect in 2 groups. Results The successful establishment of the patients with the infusion set of the marrow cavity and the blood pressure in the patients was significantly shorter than that of the deep venous catheterization （P〈0.05） . The effective rate of deep venous catheterization after admission was 26 （65%）, and there were 52 cases （83.9%） of the patients with the marrow aspiration, and the difference was statistically significant （P〈0.05）. Conclusion The infusion of bone marrow chamber is effective in the emergency treatment of patients with traumatic hemorrhagic shock, can be an effective alternative to venous access..

关 键 词：骨髓腔穿刺 输液 失血性休克 院前急救 

分 类 号：R459.7[医药卫生—急诊医学]