Samudrala Srinath
Cedars-Sinai Medical Center, Los Angeles, CA, USA.
AORN J. 2008 Sep;88(3):S2-11. doi: 10.1016/S0001-2092(08)00586-3.
Good hemostasis in surgery can provide multiple advantages to the patient, surgical team, and health care facility. Active and passive hemostatic agents have been widely used for many years and have extensive history supporting effective and safe use in a wide variety of surgical procedures. The type of surgical procedure, type of bleeding, hemostatic agent availability, and patient characteristics will influence the choice of topical hemostatic agent that is used by the surgeon. By actively participating in the coagulation cascade, active topical hemostatic agents are more able to meet the criteria of an ideal hemostatic agent in cases of oozing blood and minor bleeding during surgical procedures. Active agents can be used alone or in combination with passive agents. Familiarity with the products used to achieve hemostasis and their preparation can facilitate optimal use by surgical teams.
手术中良好的止血可为患者、手术团队和医疗机构带来诸多益处。主动和被动止血剂多年来已被广泛使用，并且拥有广泛的历史记录支持其在各种外科手术中有效且安全地使用。外科手术的类型、出血类型、止血剂的可获得性以及患者特征，都会影响外科医生所选用的局部止血剂。通过积极参与凝血级联反应，主动局部止血剂在手术过程中渗血和少量出血的情况下，更能够满足理想止血剂的标准。主动止血剂可单独使用，也可与被动止血剂联合使用。熟悉用于实现止血的产品及其制备方法，有助于手术团队实现最佳使用效果。
