注射器穿刺骨髓输液在危重病儿中的应用

目的：评价使用一次性5mL注射器穿刺骨髓腔内输液在危重病儿抢救中的应用价值。方法选择于2012年5月～2014年6月在非洲博茨瓦纳共和国仰加圭医院援外过程中，建立静脉通道失败危重患儿21例，用一次性5mL注射器穿刺骨髓腔内快速输液并给予抢救药物。分析其效果。结果21例危重患儿均1次骨髓腔内穿刺成功，均能在30～180s内建立有效的静脉通道。结论在危重病儿急救过程中，若外周静脉难以建立，采用一次性5mL注射器穿刺骨髓腔内输液是一种快速安全有效的方法，操作简单，大大提高了抢救成功率。

Application of bone marrow infusions by syringe in critically ill children

Objective To evaluate the application value of bone marrow infusion by 5mL one-off syringe in rescue of critically ill children. Methods To analyze the clinical effect of the 21 critically ill children which were failing to establish the venous transfusion,were given the salvage drug by bone marrow infusion with 5mL one-off syringe. Of all the 21 patients were selected from the process of aid foreign in Republic of Botswana between May 2012 and June 2014. Results 21 critically ill children were success of once injection on bone marrow infusions and had been established the effective venous transfusion between 30 and 180 second. Conclusion If it is difficult to establish the venous transfusion in a first aid process,bone marrow infusion with 5mL one-off syringe is a safe, rapid and effective method,which has simple operation and has greatly improved the success rate of rescue.