探讨快速动脉血采集在内分泌疾病性昏迷中应用效果.docVIP

探讨快速动脉血采集在内分泌疾病性昏迷中应用效果 　　【摘要】 目的 分析快速?勇鲅?采集在内分泌疾病性昏迷中的应用情况， 探讨动脉血应用于血常规、生化检查在内分泌危重症中的可行性。方法 80例内分泌疾病性昏迷患者， 按入院治疗时间分为静脉组和动脉组， 各40例。静脉组采用一次性真空采血管进行静脉（肘正中静脉）取血并及时送检， 动脉组采用一次性干燥注射器穿刺（上臂肱动脉）成功后经肝素钠湿润的注射器取血并及时送检。对比分析两组血气分析标准合格情况、血常规、血生化检验的差异以及平均穿刺次数、采血所需时间。 　　结果 动脉组患者平均采血所需时间为（60.5±10.5）s， 平均穿刺次数为（1.01±0.20）次， 均明显优于静脉组的（100.6±16.8）s、（2.05±0.60）次， 差异有统计学意义（P0.05）。动脉组患者血常规及生化指标检验结果与静脉组比较差异无统计学意义（P0.05）。结论 在内分泌疾病性昏迷患者中采用快速动脉血采集， 是一种方便、快捷的方法， 在全面保障血气分析、血常规、血生化检验结果准确性的同时， 又能最大程度地减少患者的痛苦， 具有临床应用价值。 　　【关键词】 动脉采血；内分泌疾病；昏迷；血气分析；血生化检测 　　DOI：10.14163/j.cnki.11-5547/r.2017.35.003 　　Investigation on application effect of rapid arterial blood collection in coma due to endocrine disease JIANG Zhi-lan， FENG Tao-li， HUANG Ya-juan， et al. Department of Emergency， Changzhou City First People’s Hospital， Changzhou 213003， China 　　【Abstract】 Objective To analyze the application of rapid arterial blood collection in coma due to endocrine disease， so as to investigate the feasibility of arterial blood applied in routine blood and biochemical examination in endocrine critical illness. Methods A total of 80 patients with coma due to endocrine disease were divided by different admission time as vein group and artery group， with 40 cases in each group. The vein group received disposable vacuum vein blood （cubital vein blood） and timely submission， and the artery group received heparin sodium wet syringe bleed after successful puncture of disposable dry syringe （upper arm brachial artery） and promptly submitted for examination. Comparative analysis were made on blood gas analysis standard qualification， blood routine， blood biochemical test differences， as well as average puncture times， blood sampling time required between two groups. Results The artery group had mean blood sampling time required as （60.5±10.5） s， average puncture times as （1.01±0.20） times， which were all obviously better than （100.6±16.8） s 　　and （2.05±0.60） times in vein group， and their difference was statistically sig