Blume M, Beschow W, Lauschke G
Klinik für Chirurgie der Medizinischen Akademie Carl Gustav Carus, Dresden.
Z Exp Chir Transplant Kunstliche Organe. 1988;21(1):49-55.
Fresh resection areas after partial resection of liver and lien in rabbits were repaired and sealed by a fibrin film on conditions of hemorrhagic tendency and increased fibrinolysis. A strong damage in the wound area in the same way as in organic injury originates from these pathologic conditions. A premature demarcation of the external wound strata especially in raised fibrinolysis takes place by reason of the parenchymal necrosis though the fibrinogen is cross-linked to an intact film independent of the common circulation and clotting relations. An abundant wound revision is recommended before using the fibrin adhesive to prevent an after-bleeding.
在兔肝脏和脾脏部分切除后的新鲜切除区域,在出血倾向和纤维蛋白溶解增加的情况下,通过纤维蛋白膜进行修复和封闭。与器官损伤一样,这些病理状况会对伤口区域造成严重损伤。尽管纤维蛋白原交联形成完整的膜,独立于正常循环和凝血关系,但由于实质坏死,尤其是在纤维蛋白溶解增强时,外部伤口层会过早分界。建议在使用纤维蛋白粘合剂之前进行充分的伤口清创,以防止术后出血。