Aysan Erhan, Bektas Hasan, Ersoz Feyzullah, Sari Serkan, Kaygusuz Arslan, Huq Gulben Erdem
Istanbul Educational and Research Hospital, Department of General Surgery Istanbul, Turkey.
Int J Clin Exp Med. 2010 Jun 30;3(3):186-91.
Hepatic parenchymal bleeding (HPB) is a major problem following both trauma and elective hepatic procedures. The present study investigated the effect of the Ankaferd Blood Stopper® (ABS) on HPB.
METHOD(S): A total of 20 rats were used. After creating a laceration model in the left lateral hepatic lobe, the area was compressed for 3 minutes with the ABS in the rats in group 1 (n=10) and with 0.9% NaCl-soaked gauze in the rats in group 2 (n=10).
The mean change in haematocrit levels between baseline and the 24 hour values in group 1 was lower than group 2 (p=0.045). The mean perioperative bleeding in group 1 was lower than group 2 (p=0.003). The histopa-thologic evaluation revealed that there were no differences between the groups with respect to areas of necrosis (p=0.107) or inflammation (p=0.135).
Although the ABS does not stop HPB completely, it ensures a statistically significant reduction in HPB.
肝实质出血(HPB)是创伤和择期肝脏手术后的一个主要问题。本研究调查了安卡非德止血剂(ABS)对肝实质出血的影响。
总共使用了20只大鼠。在左侧肝叶建立撕裂伤模型后,第1组(n = 10)的大鼠用ABS对该区域压迫3分钟,第2组(n = 10)的大鼠用浸有0.9%氯化钠的纱布压迫。
第1组血细胞比容水平在基线和24小时值之间的平均变化低于第2组(p = 0.045)。第1组围手术期平均出血量低于第2组(p = 0.003)。组织病理学评估显示,两组在坏死面积(p = 0.107)或炎症(p = 0.135)方面没有差异。
尽管ABS不能完全止住肝实质出血,但它能在统计学上显著减少肝实质出血。