CAJ | 학술논문

目的探讨双留置针双止血带错位穿刺法在危重患者抢救中的应用.方法将驱血带自无充盈静脉肢体近心端加压缠绕至已扎止血带的远心端,人为使其充盈,将2支静脉留置针错开位置穿刺留置.结果院前急救经双带扎紧后在两条充盈静脉各给予留置针穿刺,一次穿刺成功92.13%,院中急救一次穿刺成功97.83%,平均93.64%;院前急救经双带扎紧后在一条充盈静脉错开位置给予2支留置针穿刺,一次穿刺成功92.86%,院中急救一次穿刺成功100%,平均93.94%.结论双针双带错位穿刺法能够在短时间内快速建立2条有效静脉通路,提高危重患者抢救成功率.
목적 탐토쌍류치침쌍지혈대착위천자법재위중환자창구중적응용.방법 장구혈대자무충영정맥지체근심단가압전요지이찰지혈대적원심단,인위사기충영,장2지정맥류치침착개위치천자류치.결과 원전급구경쌍대찰긴후재량조충영정맥각급여류치침천자,일차천자성공92.13%,원중급구일차천자성공97.83%,평균93.64%;원전급구경쌍대찰긴후재일조충영정맥착개위치급여2지류치침천자,일차천자성공92.86%,원중급구일차천자성공100%,평균93.94%.결론 쌍침쌍대착위천자법능구재단시간내쾌속건립2조유효정맥통로,제고위중환자창구성공솔.
Objective To explore the application of transfer puncture with two indwelling needles in the vein and two tourniquets during first aid treatment of severe patients. Methods Tie expelled blood belt from the proximal of the limb to the distal limb in order to make the vein full with the blood, then put two indwelling needles into the veins. Results The first successful puncture rate was 92.13% to puncture with twoindwelling needles in the vein into two veins after tie two expelled blood belts during the pre-hospital emergency , once success rate was 97. 83% during the mid - hospital emergency , the average rate of them was 93.64% ; The first successful puncture rate was 92. 86% to puncture with two indwelling needles in the vein into a vein after tie two expelled blood belts during the pre-hospital emergency, once success rate 100.00% during the mid - hospital emergency, the average of them is 93.94%. Conclusions Put potent vein passageways quickly of transfer puncture with two indwelling needles in the vein and two tourniquets in the shortesttime in order to make successful boost in first aid for severe patients on during emergency treatment.