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目的:观察实施骨髓腔穿刺输液途径抢救产后大出血休克的临床疗效。方法:将78例产后大出血患者设为观察组,另通过回顾性医疗文献收集80例情况类似的患者设为对照组。对照组采用传统静脉穿刺输液途径,观察组实施骨髓腔穿刺输液途径。观察入院抢救开始至输液通道建成时间、开始抢救及从急救输液通道用药至血压回升时间、抢救4h内疗效、病死率等指标。结果:观察组建立通道时间、血压回升时间2项指标均低于对照组(P<0.01);观察组血压回升数值和每小时尿量均高于对照组(P<0.01);动脉血氧饱和度和静脉血氧饱和度均差异有统计学意义(P<0.01);观察组组织缺氧情况的改善优于对照组(P<0.01);观察组患者病死率低于对照组(P<0.01)。结论:骨髓腔穿刺输液途径作为常规选择方案用于抢救产后大出血休克,可提高抢救治疗效果,降低病死率。
Objective: To observe the clinical efficacy of transplanting bone marrow cavity to rescue postpartum hemorrhage shock. Methods: 78 postpartum patients with hemorrhage were selected as the observation group and another 80 patients with similar conditions were retrospectively collected as the control group. The control group received traditional venous puncture infusion and the observation group received bone marrow puncture infusion. Observation of hospital admission began to infusion channel completion time, start rescue and emergency treatment from the infusion channel to blood pressure rise time, rescue 4h efficacy, mortality and other indicators. Results: The time of establishment of channel and the time of blood pressure rise in the observation group were both lower than those in the control group (P <0.01). The blood pressure rise value and hourly urine output in the observation group were higher than those in the control group (P <0.01) (P <0.01). The improvement of hypoxia in the observation group was better than that in the control group (P <0.01). The mortality of the observation group was lower than that of the control group (P <0.01) ). Conclusion: The method of transplanting bone marrow cavity as a routine choice for salvage postpartum hemorrhage shock can improve the rescue treatment and reduce the mortality.