Foss-Skiftesvik Jon, Bech-Azeddine Rachid
Ugeskr Laeger. 2017 Jan 30;179(5).
Haemostasis is of fundamental significance in neurosurgery, and insufficient control of bleeding is associated with morbidity and mortality. Topical haemostatic agents play an important role, as the characteristics of neuronal tissue limit the use of classical surgical haemostasis techniques. Appropriate choice of agent depends on the location and type of bleeding, but also on knowledge of the products' mechanisms of action, indications, price and accessibility. Biological products are superior to the mechanical in efficacy but require more preparation and are significantly more cost-intensive.
止血在神经外科手术中具有根本重要性，出血控制不足与发病率和死亡率相关。局部止血剂发挥着重要作用，因为神经组织的特性限制了传统手术止血技术的应用。合适的止血剂选择不仅取决于出血的部位和类型，还取决于对产品作用机制、适应症、价格和可及性的了解。生物制品在功效上优于机械制品，但需要更多准备工作，且成本要高得多。
