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速即纱(TachoSil)在心脏手术中的应用可能存在危险吗?文献综述

Could TachoSil application in cardiac surgery be potentially dangerous? A review of the literature.

作者信息

Smreczak Maciej, Furgoł Tomasz, Gigoń Konrad, Ratajczak Maksymilian, Jezierzański Marcin M, Miciak Michał, Krych Sebastian, Antończyk Remigiusz, Hrapkowicz Tomasz

机构信息

Student's Scientific Society, Department of Cardiac Surgery, Transplantology, Vascular and Endovascular Surgery, School of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland.

Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland.

出版信息

Kardiochir Torakochirurgia Pol. 2025 Mar;22(1):53-57. doi: 10.5114/kitp.2025.148533. Epub 2025 Mar 17.

Abstract

The application of TachoSil adhesive is becoming increasingly popular in surgical procedures. A special area of surgical medicine is cardiac surgery, where the adhesive makes it possible to provide hemostasis when classic anastomotic methods are insufficient. There are numerous studies available demonstrating the perioperative efficacy of TachoSil, and its ease of use in the human population. However, studies on the inflammation caused by TachoSil are widely limited to animal experiments. There is a lack of studies on human groups on TachoSil-induced inflammation in cardiac surgery. The purpose of our paper is to review the current knowledge on the use of TachoSil in animals and the incidence of inflammation, in order to determine whether there is a need for similar human studies in cardiac surgery. The paper discusses the details of this problem based on recent scientific reports.

摘要

速即纱粘合剂在外科手术中的应用越来越普遍。心脏外科是外科医学的一个特殊领域,当传统的吻合方法不足以止血时,这种粘合剂能够实现止血。有大量研究表明速即纱在围手术期的有效性及其在人群中的易用性。然而,关于速即纱引起炎症的研究广泛局限于动物实验。缺乏针对心脏外科手术中速即纱诱导炎症的人类群体研究。我们论文的目的是回顾目前关于速即纱在动物中的使用情况及炎症发生率的知识,以确定心脏外科手术中是否需要开展类似的人体研究。本文基于近期的科学报告讨论了这一问题的细节。

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