中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2009年
2期
192-193
,共2页
徐根兴%薛松%连锋%黄日太%胡振雷%刘沙%谢波%王维俊%申达甫%王颖华%单江贵
徐根興%薛鬆%連鋒%黃日太%鬍振雷%劉沙%謝波%王維俊%申達甫%王穎華%單江貴
서근흥%설송%련봉%황일태%호진뢰%류사%사파%왕유준%신체보%왕영화%단강귀
心脏直视手术%难治性出血%补片法%自体心包片
心髒直視手術%難治性齣血%補片法%自體心包片
심장직시수술%난치성출혈%보편법%자체심포편
Open heart surgery%Refract bleeding%Pateh-skill%Autalogous percardium
目的 探讨补片法控制心脏直视手术中难治性出血的临床价值.方法 2007年5月至2008年10月我院共发生心脏直视手术中难以控制的活动性出血7例,采用新鲜自体心包片(6例)或涤纶片(1例)作为修补材料,用5-0 Prolene线连续缝合进行控制,对止血效果进行分析.结果 本组7例术后24 h心包纵隔引流量均不超过500 ml,未再发生活动性出血,无胸骨和纵隔感染发生,均痊愈出院.结论 补片法可以有效控制心脏直视手术中难治性出血.自体心包片有很多优点,应尽量采用心包片作为补片材料,如果心包组织有水肿或感染等,涤纶片可以作为次选材料.
目的 探討補片法控製心髒直視手術中難治性齣血的臨床價值.方法 2007年5月至2008年10月我院共髮生心髒直視手術中難以控製的活動性齣血7例,採用新鮮自體心包片(6例)或滌綸片(1例)作為脩補材料,用5-0 Prolene線連續縫閤進行控製,對止血效果進行分析.結果 本組7例術後24 h心包縱隔引流量均不超過500 ml,未再髮生活動性齣血,無胸骨和縱隔感染髮生,均痊愈齣院.結論 補片法可以有效控製心髒直視手術中難治性齣血.自體心包片有很多優點,應儘量採用心包片作為補片材料,如果心包組織有水腫或感染等,滌綸片可以作為次選材料.
목적 탐토보편법공제심장직시수술중난치성출혈적림상개치.방법 2007년5월지2008년10월아원공발생심장직시수술중난이공제적활동성출혈7례,채용신선자체심포편(6례)혹조륜편(1례)작위수보재료,용5-0 Prolene선련속봉합진행공제,대지혈효과진행분석.결과 본조7례술후24 h심포종격인류량균불초과500 ml,미재발생활동성출혈,무흉골화종격감염발생,균전유출원.결론 보편법가이유효공제심장직시수술중난치성출혈.자체심포편유흔다우점,응진량채용심포편작위보편재료,여과심포조직유수종혹감염등,조륜편가이작위차선재료.
Objective To evaluate the effects of 'patch-skill'in the management of refractory bleeding during the process of open heart surgery.Methods Between May 2007 to Oetober 2008,7 patients undergoing open-heart surgery experienced active bleeding.Autologous perieardial patches were used in 6 patients, and polyester patch in the other one.The patches were sutured continuously by 5-0 Prolene suture.Results The 24 hour chest tube output was less than 500 ml in all 7 cases after operation.There were no death, secondly active bleeding,or mediastinal in-faction.Conclusion The'patch-skill' can effectively control the refractory bleeding during open heart surgery.Au-tologous perieardial patehe is the first choice because it has multiple advantages.The polyester patch ean be used al-ternatively when autologous pereardiurn cannot be used (for various reasons such as edema and infection).
