Vilardo Nicole, Feinberg Jacqueline, Black Jonathan, Ratner Elena
Yale School of Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, 333 Cedar Street, New Haven, CT 06510, USA.
Gynecol Oncol Rep. 2017 Jul 25;21:114-116. doi: 10.1016/j.gore.2017.07.012. eCollection 2017 Aug.
QuikClot combat gauze is a synthetic hemostatic dressing used for hemorrhage control. There is a paucity of data describing the clinical use and hemostatic results of combat gauze in the obstetric and gynecologic setting. This case series demonstrates the use of combat gauze as an effective hemostatic agent when used as vaginal packing in cervical and vaginal hemorrhage. Hemostasis was achieved rapidly in all cases and further interventions were avoided. The combat gauze remained in place for a mean time of 15 h with no adverse side effects observed. The use of combat gauze as vaginal packing may provide an alternative option in the treatment of cervical and vaginal hemorrhage when other traditional conservative and surgical interventions fail or are unavailable.
快速凝血战斗止血纱布是一种用于控制出血的合成止血敷料。目前缺乏关于战斗止血纱布在妇产科临床应用及止血效果的数据。本病例系列表明,战斗止血纱布在宫颈和阴道出血时用作阴道填塞物时,可作为一种有效的止血剂。所有病例均迅速实现止血,避免了进一步的干预措施。战斗止血纱布平均留置时间为15小时,未观察到不良副作用。当其他传统保守和手术干预措施失败或无法实施时,使用战斗止血纱布作为阴道填塞物可能为治疗宫颈和阴道出血提供一种替代选择。