Ho Julia, Hruza George
Laser & Dermatology Surgery Center, Town and Country, Missouri, USA.
Dermatol Surg. 2007 Dec;33(12):1430-3. doi: 10.1111/j.1524-4725.2007.33312.x.
Postoperative bleeding can lead to complications such as hematoma, infection, dehiscence, and an unscheduled office visit. Topical hemostatic agents can be used to aid in hemostasis.
The objective is to familiarize physicians with topical hemostatic agents--hydrophilic polymers with potassium salts (Urgent QR powder) and microporous polysaccharide hemispheres (Bleed-X).
Two hemostatic agents, microporous polysaccharide hemospheres and hydrophilic polymers with potassium salt, are discussed. The literature is reviewed.
Numerous types of hemostatic agents exist. Topical hemostatic agents are safe, cost-effective, and efficient.
Microporous polysaccharide hemospheres and hydrophilic polymers with potassium salts can be an adjunct to hemostasis after cautery and ligation. Patients can apply hemostatic agents if they experience any bleeding leading to decreased office visits. Hemostatic agents used intraoperatively shorten bleeding time and enable the physician to use less cautery. Using hemostatic agents can lead to fewer hematomas, infections, and office visits.
术后出血可导致血肿、感染、伤口裂开等并发症，还会导致计划外的门诊就诊。局部止血剂可用于辅助止血。
目的是让医生熟悉局部止血剂——含钾盐的亲水性聚合物（紧急QR粉）和微孔多糖微球（Bleed-X）。
讨论了两种止血剂，即微孔多糖微球和含钾盐的亲水性聚合物。回顾了相关文献。
存在多种类型的止血剂。局部止血剂安全、经济有效且高效。
微孔多糖微球和含钾盐的亲水性聚合物可作为烧灼和结扎术后止血的辅助手段。如果患者出现任何导致门诊就诊减少的出血情况，可自行使用止血剂。术中使用止血剂可缩短出血时间，使医生减少烧灼操作。使用止血剂可减少血肿、感染的发生以及门诊就诊次数。
