骨髓腔输液在创伤失血性休克急救中的应用观察  

作　　者：黄志聪[1] 罗海杰[1] 梁少映 

机构地区：[1]广东省肇庆市第一人民医院,广东肇庆526000

出　　处：《实用中医药杂志》2017年第3期298-299,共2页Journal of Practical Traditional Chinese Medicine

摘　　要：目的:观察骨髓腔输液在创伤失血性休克急救中的治疗作用。方法:70例分为两组各35例,对照组采用外周静脉输液通补液,观察组采用胫骨骨髓腔输液。结果:输液通道建立时间、首次给药时间、血压回升时间及心率恢复时间观察组均优于对照组,两组比较差异均有统计学意义(P<0.05);4h内抢救成功率观察组94.3%、对照组82.9%,两组比较差异有统计学意义(P<0.05)。结论:骨髓腔输液抢救创伤失血性休克可缩短通道建立时间与首次给药时间,提升补液速度,回升血压、恢复心率,提高4h内抢救成功率。Objective： To observe the therapeutic effect of intraosseous infusion used in the process of emergency treatment in patients with traumatic hemorrhagic shock. Method： 70 cases were divided into observation group and control group randomly. 35 cases were treated with peripheral venous transfusion as the observation group while 35 cases were treated with tibial medullary cavity infusion as the control group. Result： The infusion channel established time, the first irrigation time, blood pressure increased time and the heart rate recovery rate of the observation group are superior to that of the control group. There was statistical significance between the two groups （ P〈0.05 ） . The successful rescue rate within 4 h of the observation group of was 94.3% while that of the control group was 82.9%. There was statistical significance between the two groups （P〈0.05） .Conclusion： For patients with uncontrolled traumatic hemorrhagic shock caused by trauma, marrow cavity infusion operation is applied in emergency rescue, which could effectively shorten the channel set up time and the first irrigation time, increase rehydration rate and improve the successful rescue rate within 4 h.

关 键 词：创伤失血性休克 急救 骨髓腔 输液 

分 类 号：R454.9[医药卫生—治疗学]