CAJ | 학술논문

目的探讨分析股静脉穿刺联合静脉推注输血在消化道大出血病人抢救中的应用效果。方法对在我院2009年11月至2011年11月间住院治疗的160例消化道大出血病人，其中80例患者作为观察组实施股静脉穿刺，另外80例作为对照组采用锁骨下静脉穿刺，并与静脉推注输血相联合，对比两种方法在消化道大出血病人抢救中的应用效果。结果观察组患者液路构建时间（5.2±2.1）min显著低于对照组的（6.5±2.7）min,一次穿刺成功率96.25%显著高于对照组的85.00%，（P<0.01）。两组患者均能够进行中心静脉压的检测。结论股静脉穿刺联合静脉推注输血方法在抢救和治疗消化道大出血病人方面是一种安全、有效的方法，可有效提高失血性休克病人的抢救成功率。
목적탐토분석고정맥천자연합정맥추주수혈재소화도대출혈병인창구중적응용효과。방법대재아원2009년11월지2011년11월간주원치료적160례소화도대출혈병인，기중80례환자작위관찰조실시고정맥천자，령외80례작위대조조채용쇄골하정맥천자，병여정맥추주수혈상연합，대비량충방법재소화도대출혈병인창구중적응용효과。결과관찰조환자액로구건시간（5.2±2.1）min현저저우대조조적（6.5±2.7）min,일차천자성공솔96.25%현저고우대조조적85.00%，（P<0.01）。량조환자균능구진행중심정맥압적검측。결론고정맥천자연합정맥추주수혈방법재창구화치료소화도대출혈병인방면시일충안전、유효적방법，가유효제고실혈성휴극병인적창구성공솔。
Objective: To investigate application of femoral vein puncture combined with intravenous injection blood transfusion in rescuing patients with gastrointestinal bleeding. Methods:160 patients with gastrointestinal bleeding in our hospital from November 2009 to November 2011 were divided into observation group(80) and the control group(80). The application between two groups twere analysed. Results: The The liquid road building time of the observation group(5.2±2.1) min was significantly lower than the control group (6.5±2.7) min , once puncture success rate of 96.25% was significantly higher than the 85.00 % (P<0.01). The central venous pressure of two groups were able to detection.Conclusion:Femoral vein puncture combined with intravenous injection blood transfusion in rescuing patients with gastrointestinal bleeding is a safe , effective method , which can effectively improve the survival rate of patients with hemorrhagic shock.