CAJ | 학술논문

目的：探讨骨髓腔穿刺输液在创伤失血性休克患者院前急救中的应用效果。方法选取外周静脉穿刺失败而改行骨髓腔穿刺输液的创伤失血性休克患者62例，为观察组；另选取同期40例创伤失血性休克患者为对照组，入院后行深静脉置管建立通道。比较2组患者的输液通道建立时间、血压回升时间及4h内治疗疗效。结果院外行骨髓腔穿刺输液组患者成功建立通道及血压出现回升所需时间明显短于入院后行深静脉置管组(P<0.05)。入院后行深静脉置管组治疗有效率为65.0%（26例），院外行骨髓腔穿刺输液组治疗有效率为83.9%（52例），差异具有统计学意义(P<0.05)。结论骨髓腔穿刺输液在创伤失血性休克患者的院前急救中具有积极作用，可作为静脉通路无法建立时的有效替代手段。
목적：탐토골수강천자수액재창상실혈성휴극환자원전급구중적응용효과。방법선취외주정맥천자실패이개행골수강천자수액적창상실혈성휴극환자62례，위관찰조；령선취동기40례창상실혈성휴극환자위대조조，입원후행심정맥치관건립통도。비교2조환자적수액통도건립시간、혈압회승시간급4h내치료료효。결과원외행골수강천자수액조환자성공건립통도급혈압출현회승소수시간명현단우입원후행심정맥치관조(P<0.05)。입원후행심정맥치관조치료유효솔위65.0%（26례），원외행골수강천자수액조치료유효솔위83.9%（52례），차이구유통계학의의(P<0.05)。결론골수강천자수액재창상실혈성휴극환자적원전급구중구유적겁작용，가작위정맥통로무법건립시적유효체대수단。
Objective To investigate the effect of bone marrow infusion in the emergency treatment for patients with traumatic hemorrhagic shock. Methods Selected peripheral venous puncture failure diverted to marrow cavity infusion of trauma hemorrhagic shock in 62 patients with, as the observation group;tube channel establishment other select the same period, 40 cases of traumatic hemorrhagic shock patients as control group, into the hospital underwent deep vein catheterization. To compare the establishment time of transfusion passage, blood pressure recovery time and 4 H therapeutic effect in 2 groups. Results The successful establishment of the patients with the infusion set of the marrow cavity and the blood pressure in the patients was significantly shorter than that of the deep venous catheterization (P<0.05) . The effective rate of deep venous catheterization after admission was 26 (65%), and there were 52 cases (83.9%) of the patients with the marrow aspiration, and the difference was statistically significant (P<0.05). Conclusion The infusion of bone marrow chamber is effective in the emergency treatment of patients with traumatic hemorrhagic shock, can be an effective alternative to venous access..