负压穿刺法在急诊血液病患者输血中的应用

发布时间：2018-08-27 08:07

【摘要】：目的探讨静脉留置针负压穿刺法在急诊血液病患者输血中的应用效果。方法将120例急诊输血的血液病患者按随机数字表法分为常规组和负压组各60例。常规组采用0.9%氯化钠注射液连接输血器,以静脉留置针进行常规静脉穿刺;负压组静脉留置针连接一次性使用采血针接头及真空采血管,带负压进行静脉穿刺。结果两组一次性穿刺成功率、一次性回血率及穿刺回血时间比较,差异有统计学意义(均P0.01)。结论静脉留置针负压穿刺法穿刺稳定,回血自然、快速,操作者可尽快做出有效判断,避免反复穿刺损伤血管,从而提高穿刺成功率。
[Abstract]:Objective to investigate the effect of negative pressure puncture with venous indwelling needle on blood transfusion in emergency patients with hematologic diseases. Methods 120 patients with hematologic diseases undergoing emergency transfusion were randomly divided into two groups: the routine group (n = 60) and the negative pressure group (n = 60). In the routine group, 0.9% sodium chloride injection was used to connect the blood transfusion device, and the venous indwelling needle was used for routine venipuncture, while in the negative pressure group the venous indwelling needle was connected with the blood needle joint and the vacuum blood vessel at one time, and the venous puncture was carried out with negative pressure. Results there were significant differences between the two groups in the success rate of one-time puncture, the rate of one-time blood return and the time of puncture (P 0. 01). Conclusion the puncture of venous indwelling needle with negative pressure puncture is stable, natural and rapid, and the operator can make effective judgment as soon as possible, avoid repeated puncture injury of blood vessel, and improve the success rate of puncture.
【作者单位】：中国医科大学附属盛京医院滑翔院区急诊科;
【分类号】：R473.5

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