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[淋巴结清扫术后的淋巴瘘——使用纤维蛋白胶的预防和治疗]

[Lymph fistulae following lymph node dissections--prevention and treatment using fibrin gluing].

作者信息

Waclawiczek H W, Pimpl W

出版信息

Chirurg. 1986 May;57(5):330-1.

PMID:3488178
Abstract

The fibrin sealing was employed in connection with lymph node dissections - on one hand intraoperatively in order to avoid lymph fistulae (n = 26), on the other hand postoperatively in treatment of manifest lymph fistulae (n = 9). Thereby lymph fistulae could be avoided in 96.2% (n = 25) resp. a quick successful treatment of the lymph fistulae could be achieved in 7 of 9 cases (77%). On the average a quantity of 1 ml of fibrin sealant was sufficient; a high concentration of aprotinin (3500 IU) and thrombin (500 IU) was chosen. No side effects on part of the fibrin sealing were noted.

摘要

纤维蛋白封闭剂用于淋巴结清扫术中及术后,一方面术中使用以避免淋巴瘘(n = 26),另一方面术后用于治疗明显的淋巴瘘(n = 9)。由此,分别有96.2%(n = 25)的患者避免了淋巴瘘,9例患者中有7例(77%)淋巴瘘得到快速成功治疗。平均1毫升纤维蛋白封闭剂就足够;选择了高浓度的抑肽酶(3500 IU)和凝血酶(500 IU)。未观察到纤维蛋白封闭剂有任何副作用。

相似文献

1
[Lymph fistulae following lymph node dissections--prevention and treatment using fibrin gluing].[淋巴结清扫术后的淋巴瘘——使用纤维蛋白胶的预防和治疗]
Chirurg. 1986 May;57(5):330-1.
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[Prevention and treatment of postoperative fistulae--new indications for fibrin gluing].[术后瘘管的预防与治疗——纤维蛋白胶的新应用指征]
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Endoscopic treatment of bronchus stump fistulae following pneumonectomy with fibrin sealant in domestic pigs.用纤维蛋白密封剂对家猪肺切除术后支气管残端瘘进行内镜治疗。
Thorac Cardiovasc Surg. 1985 Dec;33(6):344-6. doi: 10.1055/s-2007-1014164.
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[Clinical experience with fibrin gluing in general and thoracic surgery].[纤维蛋白胶在普通外科和胸外科的临床应用经验]
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Clinical use of nonautologous fibrin glue.非自体纤维蛋白胶的临床应用。
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[Endoscopic closure of the postoperative bronchopleural fistula].[术后支气管胸膜瘘的内镜封堵术]
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[Percutaneous fibrin gluing in subcutaneous cerebrospinal fluid fistulas following operations on the brain and spinal cord].[脑和脊髓手术后皮下脑脊液瘘的经皮纤维蛋白胶黏合术]
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Prevention of seroma following axillary lymph node dissection or radical mastectomy; ineffectiveness of fibrin glue sealing technique.腋窝淋巴结清扫术或根治性乳房切除术后血清肿的预防;纤维蛋白胶封闭技术的无效性。
Neth J Surg. 1987 Aug;39(4):135.

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Intraoperative application of fibrin sealant does not reduce the duration of closed suction drainage following radical axillary lymph node dissection in melanoma patients: a prospective randomized trial in 58 patients.纤维蛋白封闭剂术中应用并不能缩短黑色素瘤患者腋窝淋巴结清扫术后闭式引流时间:一项纳入58例患者的前瞻性随机试验。
World J Surg. 2008 Jul;32(7):1450-5. doi: 10.1007/s00268-007-9461-0.
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Successful doxycycline treatment of lymphatic fistulas: report of five cases and review of the literature.强力霉素成功治疗淋巴瘘:5例报告及文献复习
Langenbecks Arch Surg. 2006 Aug;391(4):435-8. doi: 10.1007/s00423-006-0050-8. Epub 2006 May 9.