【摘要】 目的:探讨骨髓腔穿刺输液法在危重患者抢救过程中应用和优势。方法:将52名危重患者分为治疗组与对照组,治疗组为外周静脉穿刺失败3次或时间越过90秒后改行骨髓腔穿刺者,对照组为静脉穿刺患者,两组其它救护措施相同,分别通过通道建立时间、液体的滴速度,和血压上升的时间为观察指标。结果:两组在通道建立时间、抢救有效率方面P<0.05,差异有统计学意义,在血压恢复时间、输液速度方面P>0.05差异无显著性。结论:骨髓腔穿刺输液法,建立输液通道和补液速度快,成功率高、并发症少,在急救中骨通道输液具有安全有效的特性,可代替常规输液。更多还原

【Abstract】 Objective: To investigate the application and advantage of marrow cavity infusion for saving severe patients. Methods: Totally, 52 severe patients were divided into control group and test group. Patients in test group were performed marrow cavity who underwent failure three times(or excess 90-seconds) of venous detaining catheter puncture, while patients in control group were performed venipuncture. The setting time of infusion access, the drop of transfusion, and the time of blood pressure elevation were observed. Results: Two groups had significant differences in the setting time of infusion access and the effective rate of emergency(P<0.05). However, there were no significant differences in the time of blood pressure recovery and the drop of transfusion(P>0.05). Conclusions: The advantage of marrow cavity infusion is safe for emergency with high rate of success and low complications, which may be substituted for conventional infusion.更多还原