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[纤维蛋白胶注射——腹腔镜肝活检后的一种止血技术]

[Fibrin glue injection--a hemostatic technic after laparoscopic liver biopsy].

作者信息

Thiele H, Berg P L, Frick B, Kalk J F

机构信息

Heinz-Kalk-Krankenhaus, Bad Kissingen.

出版信息

Dtsch Med Wochenschr. 1989 Aug 4;114(31-32):1196-8. doi: 10.1055/s-2008-1066739.

Abstract

Fibrin glue was injected into or near the site of needle biopsy puncture in 33 patients (38 laparoscopically guided liver biopsies), 21 with histologically confirmed liver cirrhosis, to arrest post-puncture bleeding. A special double-lumen needle was introduced, suitable for multiple injections. Fibrin-glue injection was successful in 37 instances, but in one case it failed because the injection needle could not be optimally placed. The method thus seems to be a reliable and sensible means of obtaining haemostasis if compression and electrocoagulation have failed.

摘要

对33例患者(38次腹腔镜引导下肝活检)在经皮肝穿刺活检针穿刺部位或其附近注射纤维蛋白胶,其中21例经组织学证实为肝硬化,目的是阻止穿刺后出血。采用一种特制的双腔针,适用于多次注射。纤维蛋白胶注射成功37次,但有1例失败,原因是注射针未能最佳定位。因此,如果压迫止血和电凝止血失败,该方法似乎是一种可靠且合理的止血手段。

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