Von Hoff D D
Cancer Therapy and Research Center, San Antonio, Texas.
Cancer Invest. 1991;9(5):521-8. doi: 10.3109/07357909109018950.
Patients with malignancies or other prolonged illnesses such as acquired immune deficiency syndrome, require long-term vascular access. Unfortunately, currently available technologies which access the vascular system, such as intravenous catheters (external or implanted ports), have frequent complications including clotting and infection which limit their long-term usefulness. An important but forgotten method to access the central venous system is through the intraosseous route. This review summarizes past experience with the intraosseous route of access to the central venous system as well as describes a new device which might eventually make intraosseous access more convenient for the patient. It is anticipated this forgotten method of vascular access will be used more frequently in patients who have exhausted conventional venous access systems.
患有恶性肿瘤或其他长期疾病（如获得性免疫缺陷综合征）的患者需要长期的血管通路。不幸的是，目前可用于进入血管系统的技术，如静脉导管（外部或植入式端口），有频繁的并发症，包括凝血和感染，这限制了它们的长期实用性。一种进入中心静脉系统的重要但被遗忘的方法是通过骨内途径。这篇综述总结了过去通过骨内途径进入中心静脉系统的经验，并描述了一种新设备，该设备最终可能会使骨内通路对患者来说更加方便。预计这种被遗忘的血管通路方法将在传统静脉通路系统已用尽的患者中更频繁地使用。
