Christensen D W, Vernon D D, Banner W, Dean J M
Department of Pediatrics, Primary Children's Medical Center, University of Utah School of Medicine, Salt Lake City.
Pediatr Emerg Care. 1991 Oct;7(5):289-90. doi: 10.1097/00006565-199110000-00007.
Bone marrow infusion is currently recommended as a useful technique for rapidly obtaining vascular access in critically ill children. Minor complications occur frequently, but serious complications of this technique are uncommon. We describe two patients with local skin necrosis complicating intraosseous infusion. To minimize the complications of this technique, we recommend placement verification before fluid infusion, careful monitoring for infiltration, and prompt removal after venous access is obtained.
目前推荐骨髓输注作为一种在危重症儿童中快速建立血管通路的有用技术。轻微并发症经常发生，但该技术的严重并发症并不常见。我们描述了两例因骨内输注并发局部皮肤坏死的患者。为尽量减少该技术的并发症，我们建议在输液前进行置管验证，仔细监测有无渗漏，并在获得静脉通路后及时拔除。
