Dryjski Maciej L, Litwinski Roman A, Karakousis Constantine P
Department of Surgery, Kaleida Health, Millard Fillmore Hospital, 3 Gates Circle, Buffalo, NY 14209, USA.
Am J Surg. 2005 Feb;189(2):208-10. doi: 10.1016/j.amjsurg.2004.08.065.
Hemorrhage from large retroperitoneal veins is usually controlled by suturing the venous tear. Infrequently, the extent and location of the tear and amount of hemorrhage preclude successful suturing.
In seven patients with severe hemorrhage from large retroperitoneal veins encountered in association with resection of retroperitoneal sarcoma (6) or repair of a ruptured abdominal aortic aneurysm (1), packing of the area with sufficient amounts of Surgicel (Ethicon, Johnson & Johnson, Somerville, NJ) and pressure for one half hour was used.
All seven patients did not show any bleeding postoperatively and no clinical sequelae developed, with the exception of one patient who developed an abscess requiring drainage.
Internal packing with Surgicel appears to be reliable in controlling venous hemorrhage not manageable by the standard methods and may be preferable to roll gauze packing.
来自大的腹膜后静脉的出血通常通过缝合静脉撕裂处来控制。但偶尔，撕裂的范围和位置以及出血量会使成功缝合变得不可能。
在7例因腹膜后肉瘤切除（6例）或破裂腹主动脉瘤修复（1例）而遇到大的腹膜后静脉严重出血的患者中，使用足够量的速即纱（Ethicon公司，强生公司，新泽西州萨默维尔）填充该区域并施加半小时压力。
所有7例患者术后均未出现任何出血，除1例患者发生脓肿需要引流外，未出现临床后遗症。
用速即纱进行内部填充在控制标准方法无法处理的静脉出血方面似乎是可靠的，并且可能比卷状纱布填充更可取。
