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十余年来,我们一直用传统骨穿针,首选髂骨,次选棘突,偶选胸骨和胫骨穿刺。骨穿中间有干抽或骨髓稀释现象发生,尤对2岁以下婴幼儿有时颇感棘手,每天为骨穿花去不少时间与精力。92年5月,我们改用一次性注射器行胸骨穿刺,迄今共做200例,成功率达98%,现报告如下: 一般资料:比例中男112人,女88人。年龄:4月～14岁。0～1岁32例,1～3岁66例,3～7岁54例,7～14岁48例。部位:患儿仰卧位,充分暴露胸上部,取胸骨中线上,颈静脉切迹下1.5～2cm处。方法:1、常规消毒皮肤,铺巾,一般不需局麻。
More than ten years, we have been using traditional bone puncture, the preferred ilium, the second election spinous process, occasional sternal and tibial puncture. Bone through the middle of dry pumping or bone marrow dilution occurs, especially for infants and children under the age of 2 sometimes quite tricky, every day to spend a lot of time and energy to wear the bone. In May 1992, we switched to a sternal puncture with a disposable syringe. So far we have done 200 cases with a success rate of 98%. The report is as follows: General Information: There are 112 males and 88 females in proportion. Age: April ~ 14 years old. 32 cases were 0-1 years old, 66 cases were 1-3 years old, 54 cases were 3-7 years old and 48 cases were 7-14 years old. Parts: supine children, fully exposed chest, take the midline of the sternum, jugular vein notch under 1.5 ~ 2cm Department. Methods: 1, routine disinfection of the skin, shop towels, generally do not need local anesthesia.