骨髓输液在创伤现场急救中的运用  

Application of intraosseous infusion in the first aid of trauma

作　　者：徐海洲 王美堂 XU Haizhou;WANG Meitang

机构地区：[1]海军军医大学第一附属医院急诊科,上海200433

出　　处：《临床急诊杂志》2021年第6期433-436,共4页Journal of Clinical Emergency

摘　　要：严重创伤急救重在突出"白金10 min"的救治时效性,大多数严重创伤患者死亡发生在院前,实施有效的院前急救可挽救更多患者[1],因此在创伤现场条件下能迅速建立静脉通道,对危重伤员进行快速补液与药物治疗是抢救成功的关键因素之一。传统的静脉开放通道有外周静脉和中心静脉两种通道。外周静脉穿刺简单方便,并发症少,但是危重伤员循环衰竭后外周静脉可收缩塌陷,而且伤员受伤后烦躁不安,可显著增加外周静脉穿刺难度。As a special way of transfusion, intraosseous infusion(IO)plays a very important role in the first aid of trauma. This paper reviews the development history of IO, IO puncture site, IO instruments, and the indications, contraindications, infusion characteristics and complications of IO, in order to promote its further application in China.

关 键 词：骨髓输液 创伤 急救 

分 类 号：R472[医药卫生—护理学]