Khan F A, Fang D T, Nivatvongs S
Surg Gynecol Obstet. 1987 Sep;165(3):274-6.
Severe presacral bleeding is a troublesome and potentially life-threatening complication during low anterior or abdominoperineal resection. We believe that suturing or cauterization should not be used since this will perpetuate the problem of bleeding in most instances. We recommend the use of hemostatic agents plus laparotomy sponges for compression to control the bleeding. If this fails, then the metallic thumbtack can be used as described herein. It is simple and effective.
严重的骶前出血是低位前切除术或腹会阴联合切除术中一个棘手且可能危及生命的并发症。我们认为不应使用缝合或烧灼止血,因为在大多数情况下这会使出血问题持续存在。我们建议使用止血剂加剖腹术海绵进行压迫以控制出血。如果这一方法失败,那么可按本文所述使用金属图钉。它简单且有效。