论文部分内容阅读
目的:探讨股静脉穿刺置管术在基层医院休克患者抢救中的应用。方法:选取某基层医院2015-01—2016-06进行抢救的休克患者共54例,随机分为股静脉穿刺组(A组)和开放外周静脉通道组(B组),分别比较2组患者在穿刺后各时间点的平均动脉压(MAP)、动脉血氧饱和度(SaO2)和乳酸值(RA),及6h液体复苏后休克纠正成功率。结果:随着复苏时间的延长,A组的MAP、SaO2较对照组明显上升,RA值则明显降低。A组6h液体复苏后休克纠正成功率明显高于B组。结论:股静脉穿刺术可提高休克抢救成功率,较少引起严重并发症,操作相对简单、安全,值得在基层医院急救中推广。
Objective: To explore the application of femoral vein catheterization in the rescue of patients with shock in primary hospital. Methods: A total of 54 shock patients were selected from a primary hospital for rescue from January 2015 to June 2016 and were randomly divided into femoral vein puncture group (A group) and open peripheral venous access group (B group). Patients in two groups were compared Mean arterial pressure (MAP), arterial oxygen saturation (SaO2) and lactic acid (RA) at each time after puncture, and shock success rate after 6 h of liquid resuscitation. Results: With the prolongation of recovery time, MAP and SaO2 in group A increased significantly compared with those in control group, and RA value decreased significantly. A group 6h liquid resuscitation shock success rate was significantly higher than the B group. Conclusion: Femoral vein puncture can improve the success rate of shock rescue, less serious complications, the operation is relatively simple and safe, it is worth to promote in primary hospital emergency.