静脉输液治疗的并发症：对比现场启动和急诊科启动的静脉输液结果。

Complications from i.v. therapy: results from field-started and emergency department-started i.v.'s compared.

作者信息

Lawrence D W, Lauro A J

机构信息

Emergency Medical Services, Charity Hospital, New Orleans, Louisiana 70140.

出版信息

Ann Emerg Med. 1988 Apr;17(4):314-7. doi: 10.1016/s0196-0644(88)80770-4.

DOI:10.1016/s0196-0644(88)80770-4

PMID:3354933

Abstract

Because the complications resulting from IV therapy started outside the hospital seem inordinately higher than those resulting from IV therapy started in the emergency department, we undertook a comparative two-month study of the complications resulting from both sources. We found the number and severity of complications from IV therapy started in the field significantly greater than complications from that started in the ED. The phlebitis rate in the prehospital group was 4.65 times that in the ED group (P less than .001). The percentage of patients with unexplained fever in the prehospital group was 5.58 times that in the ED group (P less than .01). Means for reducing the complications and areas for further research are suggested.

摘要

由于在院外开始的静脉治疗所引发的并发症似乎比在急诊科开始的静脉治疗所引发的并发症高得离谱，我们针对这两种情况引发的并发症进行了为期两个月的对比研究。我们发现，在现场开始的静脉治疗引发的并发症数量和严重程度明显高于在急诊科开始的静脉治疗。院前组的静脉炎发生率是急诊科组的4.65倍（P小于0.001）。院前组不明原因发热患者的百分比是急诊科组的5.58倍（P小于0.01）。文中还提出了减少并发症的方法以及有待进一步研究的领域。