骨髓输液在心肺复苏中应用的研究进展  

Application of intraosseous infusion in cardio pulmonary resuscitation

作　　者：黄宏 江朝光 韩为东[1] HUANG Hong JIANG Chaoguang HAN Weidong(Molecular ＆ Immunological Department, Chinese PLA General Hospital, Beijing 100853, China Medical School of Nankai University, Tianjin 300071, China Logistics College of Chinese PLA, Beijing 100858, China)

机构地区：[1]解放军总医院分子免疫室,北京100853 [2]南开大学医学院,天津300071 [3]后勤指挥学院,北京100858

出　　处：《解放军医学院学报》2017年第9期893-895,共3页Academic Journal of Chinese PLA Medical School

基　　金：中国博士后科学基金面上资助(2016M592929)~~

摘　　要：心肺复苏时,当外周脉管系统坍塌、外周静脉通路难以建立或中心静脉置管时间太长时,可以通过骨髓(intraosseous,IO)通路迅速建立补液途径,因此骨髓输液技术已写入多种复苏指南。在心肺复苏的过程中,通过骨髓输液通路快速建立补液途径,可把胸腔按压的影响降至最低。骨髓输液枪简单易操作,也促使骨髓输液成为一种非常有吸引力的静脉复苏的替代方式。本文对骨髓输液在心肺复苏过程中的应用以及骨髓输液枪的发展进行综述,以推广其在国内的应用与进一步探索。The intraosseous（IO） infusion route can be established fast when intravenous（IV） route is not accessible or central venous catheterization is too time-consuming or peripheral vascular collapses, and the IO access has been recommended by several resuscitation guidelines. Besides, quickly achieved IO route can minimize the effects to interruption of chest compressions. The userfriendly designed IO infusion gun makes it an attractive alternation of resuscitation. In this study, we review the application of IO infusion during cardiopulmonary resuscitation（CPR） and the development of IO infusion guns, which may promote the domestic popularization and understanding of its advantages and disadvantages in the life-saving procedure.

关 键 词：骨髓输液 静脉输液 心肺复苏 

分 类 号：R459.7[医药卫生—急诊医学]