骨髓腔穿刺输液获得成功1例分析  

Analysis of 1 case bone marrow puncture infusion was successful

作　　者：张万臣[1] Zhang Wanchen(The People's Hospital of Taihe County 236600)

机构地区：[1]太和县人民医院,236600

出　　处：《中国社区医师》2017年第26期39-39,41,共2页Chinese Community Doctors

摘　　要：在小儿急诊尤其是多发伤患儿的急救中,迅速建立有效的液体补给通路是治疗成功的关键所在。多发伤患儿常伴有休克,有效循环血量不足,外周循环衰竭明显,导致血管痉挛甚至静脉塌陷,给静脉穿刺造成困难,有时会延误抢救时机,导致死亡率增加。重症监护室多采用中心静脉置管和气管内给药,但由于并发症多、创伤大、技术难度高、用时长,极易给患儿造成再次伤害。因此骨髓腔内输液成为救治危重症患儿有效的静脉替代途径。Establishment of effective liquid supply passage quickly is the key to successful treatment,especially in the first aid of children with multiple injuries in the pediatric emergency.Those patients often accompanied by shock,lack of effective circulating blood volume,peripheral circulatory failure,causing vasospasm or venous collapse,causing difficulties for vein puncture.Sometimes it delays the chance of rescue and leads to an increase in mortality.Intensive care unit mostly adopts central venous catheter and intratracheal administration,but because of many complications,big trauma,high technical difficulty and long use time,and it can cause secondary injury to children easily.Therefore,bone marrow cavity infusion(IO)has become an effective alternative route for the treatment of critically ill children.

关 键 词：骨髓腔内输液 深静脉置管 气管内给药 静脉替代 

分 类 号：R720.597[医药卫生—急诊医学]