经骨髓输液在抢救创伤失血性休克中的临床研究

目的研究经骨髓输液在抢救创伤失血性休克过程中的可行性和有效性,探讨急诊抢救输液的新方法。方法选择创伤失血性休克268例,随机分为经骨髓输液和经静脉输液两组。静脉穿刺困难的立即行经骨髓穿刺输液,对照组经静脉常规穿刺置管输液。结果两组输液后在血压回升的时间和输液的速度上差异无统计学意义(P>0·05),但在建立输液通道所用的时间上,经骨髓输液组较静脉输液组明显缩短。结论在抢救创伤失血性休克中,经骨髓输液是静脉穿刺困难患者的替代方法,不但安全、迅速、有效,而且便于在院前急救和基层医院开展。

Clinical research of intraosseous infusion in the therapy of traumatic hemorrhagic shock

Objective To study the feasibility and effectiveness of intraosseous infusion in the treatment of the traumatic hemorrhagic shock cases.Method 268 traumatic hemorrhagic shock cases were divided into intraosseous infusion group and intravenous infusion group at random.Result Compared with intravenous infusion,intraosseous infusion was performed in a shorter time.There were no significant differences in the recovery of blood pressure and the infusion rate between the two groups.Conclusion Intraosseous infusion is a replacement therapy for the patients who have difficulty in intravenous puncture.It is not only safe,rapid and effective,but also easy for the emergency treatment before the hospital and the application of the primary level hospital.