Del Campo C
Can J Surg. 1985 Jan;28(1):55-6.
Patients with infective endocarditis and disseminated intravascular coagulation may require emergency valve replacement because of acute hemodynamic decompensation. After cardiopulmonary bypass is discontinued, nonsurgical hemorrhage, refractory to conventional treatment, may occur. The author describes a technique of mediastinal packing for temporary control of bleeding until the coagulation disorder can be corrected. The pack can be removed transcutaneously without reoperation. This method should be used only when all other approaches have failed to achieve hemostasis.
患有感染性心内膜炎和弥散性血管内凝血的患者，可能因急性血流动力学失代偿而需要紧急进行瓣膜置换。在体外循环停止后，可能会发生对传统治疗无效的非手术性出血。作者描述了一种纵隔填塞技术，用于临时控制出血，直到凝血障碍得到纠正。填塞物可经皮取出，无需再次手术。仅当所有其他方法均未能实现止血时，才应使用此方法。
