Thiele H, Berg P L, Frick B, Kalk J F
Heinz-Kalk-Krankenhaus, Bad Kissingen.
Dtsch Med Wochenschr. 1989 Aug 4;114(31-32):1196-8. doi: 10.1055/s-2008-1066739.
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.
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。