摘要
目的探讨骨髓腔输液在危重成人患者急救中应用的效果。方法将64例危重成人患者随机分为对照组(30例)与治疗组(34例)。治疗组行骨髓腔输液,对照组予以浅表静脉切开或深静脉穿刺输液,其它救护措施两组相同。结果治疗组急救输液通道建成时间及抢救至血压回升时间较对照组明显缩短,4h内救治有效率明显高于对照组,病死率明显低于对照组(P<0.01,P<0.05)。结论骨髓腔输液对无法常规行静脉穿刺的危重患者是一种快速、安全、有效的替代途径,且设备及操作要求简单。
Objective To examine the effect of intraosseous infusion on the critical patients requiring emergency treatment. Methods Sixty-four critical patients were randomly divided into two groups:an experimental group and a control group. The patients in the exp erimental group (34 cases) were given intraosseous infusion and the patients in the control group (30 cases ) were treated with superficial venesection or deep venepuncture infusion. Other treatments were same. Results The time of the first aid infusion passage establishment and time from the start of first aid to the rise of the blood pressure was significantly shorter in the e xperimental group than in the control group. The effective rate within 4 hours w as significantly higher in the experimental group and death rate was significa ntly lower as compared with the controls (P<0.01,P<0.05). Conclu sion Intraosseous infusion is a quick, safe and effective alternative fo r the critical patients who can not be treated with venepuncture. It is simple a nd desen’t involve use of complicated equipment.
