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[可吸收合成网作为植入性填塞物在难以处理的出血性病变中的应用]

[Use of resorbable synthetic net as implanted tamponade in hard-to- manage hemorrhagic lesions].

作者信息

Arndt M, Pelster F

机构信息

Chirurgische Klinik und Poliklinik, Westfälischen Wilhelms-Universität Münster.

出版信息

Zentralbl Chir. 1991;116(4):281-5.

PMID:1645910
Abstract

The use of Hemostypic agents like oxised regenerated cellulose and collagen sponge is widespread in cases with severe hemorrhage that cannot be treated by conservative measure. With these materials however one cannot bring compression to the source of bleeding. We therefore have been using absorbable mesh (Vicryl, Dexon) instead of these situations. In 42 cases mesh were used as a remaining tamponade. Hemorrhage in all cases was successfully stopped. Complicated surgical measure could be avoided. Although up to 30 mesh were implanted in a single patient we saw no sign of infection. Considering our clinical experiences absorbable mesh is a valuable auxiliary agent to solve difficult bleeding problems in general surgery.

摘要

诸如氧化再生纤维素和胶原海绵等止血剂在无法通过保守措施治疗的严重出血病例中广泛使用。然而,使用这些材料时无法对出血源施加压迫。因此,在这些情况下我们一直在使用可吸收网片(薇乔、德克松)。在42例病例中,网片用作残留填塞物。所有病例的出血均成功止住。避免了复杂的手术措施。尽管在单个患者中植入了多达30片网片,但我们未观察到感染迹象。根据我们的临床经验,可吸收网片是解决普通外科中困难出血问题的一种有价值的辅助剂。

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