Department of Cardiovascular Surgery, Maizuru Mutual Hospital, Maizuru, Kyoto, 625-8585, Japan.
Eur J Cardiothorac Surg. 2011 May;39(5):782-3. doi: 10.1016/j.ejcts.2010.09.001.
Surgical bleeding from anastomoses due to systemic heparinization or prolonged extracorporeal circulation, which is more effectively controlled with topical hemostatic agents than with sutures, has been one of the major problems in cardiovascular surgery. We describe a novel hemostatic technique using fibrin glue. Briefly, the two components of fibrinogen and thrombin solutions are mixed and put over the bleeding point immediately after the glue has become a viscous gel. Within a minute of local compression, the glue sets well enough to stop the bleed.
由于全身肝素化或体外循环时间延长导致吻合口外科出血，用局部止血剂比用缝线更能有效地控制这种出血，这一直是心血管外科学中的一个主要问题。我们描述了一种使用纤维蛋白胶的新型止血技术。简而言之，纤维蛋白原和凝血酶溶液的两种成分混合在一起，在胶变成粘性凝胶后立即涂在出血点上。局部压迫一分钟内，胶就会凝固得足以止血。
