目的观察S100吸收性止血绫(absorbable stanching satin S100,ASS)在肝脏外科的止血效果。方法将40例择期行肝部分切除术的患者随机分成两组,应用ASS贴敷肝断面为ASS组(n=20),肝断面不用任何局部止血材料为对照组(n=20),分别于术后2 h、12 h、24 h及72 h观察腹腔引流情况,其中重点观察引流量。结果ASS组术后腹腔引流量较对照组明显减少,差异有显著性意义(P<0.01);ASS组术后无漏胆发生,对照组术后有2例发生漏胆; ASS组的腹腔引流管拔管时间及平均住院日均小于对照组,但差异无显著性意义(P gt;0.05)。结论ASS在肝脏部分切除术中具有安全、有效的止血作用,特别是对于伴有凝血机能障碍的患者。
Citation:
许邦文,周宁新,霍宗红. STUDY ON THE APPLICATION OF ABSORBABLE STANCHING SATIN S100 TO THE SELECTIVE PARTIAL HEPATECTOMY. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(4): 276-277. doi:
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- 1. Silverstein ME, Chvapil M. Experimental and clinical experiences with collagen fleece as a homeostatic agent [J]. J Trauma, 1981; 21(5)∶ 388.
- 2. Eloy R, Baguet J.An in vitro evaluation of the hemostatic activity of topical agents [J]. J Biomed Mater Res, 1988; 22(2)∶149.
- 3. Sawyer PN,Schwan G,Stanczewski B. Effects of a new hemostatic agent on blood coagulation [J]. Biomater Med Devices Artif Organs 1983; 11(2-3)∶ 135.
- 4. 徐冠杰,宋翠萍. S99可溶性止血纱布治疗鼻衄 [J]. 北京医学,1985; 7(1)∶ 13.