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1、BD动脉米血器在急诊危重症患者动脉米血中的临床效果观察摘要:目的回顾性观察BD动脉采血器在急诊危重症患者动脉采血屮的应用效果。方法连续收集100例需耍进行血气分析的急诊危重症患者应用BD动脉釆血器进行采血,并总结100例采用一次性注射器采集动脉血的急诊危重症患者作为对照组,将两组标本合格率、一次性穿刺成功率、误抽静脉血率、混入气泡率、穿刺局部皮下血肿和瘀斑率、患者主观疼痛程度进行和穿刺后压迫止血时间比较。结果观察组各项指标均优于对照组,差异存在统计学意义(P<0.01)o结论在急诊危重症抢救过程中,积极米用BD动脉米血器米血能有效提高一次性穿刺成功率、提高动脉血气标
2、本的合格率并有效减轻患者的疼痛程度、减少局部皮下血肿与瘀斑发生,在急诊抢救工作中值得推广应用。关键词:BD动脉采血器;危重症患者;一次性注射器;动脉采血;效果观察Abstract:ObjectiveToretrospectivestudy,wecomparetheclinicaleffectsofarterialblooddrawingwithBDCriticalCareCollectionSyringesandCommonDisposableSyringes.MethodsTocompareBDCriticalCareCollectionSyringesfor10
3、0patients,andrandomlyselected100pationtswhousedCoininonDisposableSyringesforarterialblooddrawing.Wecomparedthoseitems:Specimenqualifiedrate,successrateofpuncturebyonce,happenrateofveinblooddrawing,happenrateofmixedair,happenrateofhaematomaandextravasatedbloodinpuncturesiteandpainlevela
4、ndthewoundspressingtimeafterbloodsampling.ResuItsIndexofBDCriticalCareCollectionSyringesis:Specimenqualifiedrate89%,successrateofpuncturebyonce96%,happenrateofveinblooddrawing5%,happenrateofmixedair2%,happenrateofhaematomaandextravasatedbloodinpuncturesite15%a.ndpainlevel5%.Accordingto
5、thecontrolgroup,Specimenqualifiedrate85%,successrateofpuncturebyonce82%,happenrateofveinblooddrawing14%,happenrateofmixedair8%,happenrateofhaematomaandextravasatedbloodinpuncturesite20%andpain1evel20%.BDCriticalCareCollectionSyringeswereobviouslylowerthanCommonDisposableSyringesinhappe
6、nrateofveinblooddrawing,happenrateofmixedair,happenrateofhaematomaandextravasatedbloodinpuncturesiteandpainlevel,andobviouslyhigherinSpecimenqualifiedrate,successrateofpuncturebyonceandthewoundspressingtimeafterbloodsimpling(P<0.01)・ConclusionBDCriticalCareCollectionSyringesaresimplein
7、operation,andhavelittlebadresponse,littlepaintopatiens,thisshouldbeusedinclinicalpracticenormaly.Keywords:BDcriticalcarecollectionsyringes;Criticalpatients;Commondisposablesyringes;Arterialblooddrawing;Effectobservation动脉血气分析是临床医学的一项重要辅助检查,尤其在急诊危重症患者中,用于检测呼吸功能和酸碱平衡的一项重要指标,为临床医生提供急危重症