摘要
目的：探讨冷沉淀在毁损肺叶切除术后发生大出血的临床应用。方法：对我院2005年1月~2010年1月间26例毁损肺叶切除手术出现大出血（〉1000ml）的处理方法进行回顾性总结分析。结果：术后出血1000ml～3000ml有18例（69.2%）,3000～5000ml有5例（19.2%）。5000ml以3例（11.5%）。遇到大出血,除了开胸结扎活动性出血外,用冷沉淀治疗均达到了满意的疗效,结论：毁损肺手术难度大,出血多,特别是结核性毁损肺的病人手术要慎重。术前、术中合理应用止血药物和正确的止血方法是防止和减少出血的关键,特别是冷沉淀的应用能起到理想的止血效果。
Objective：To investigate the clinical application of cryoprecipitate when bleeding occurs after lobectomy for destroyed lung.Methods：A retrospective analysis was performed based on 26 clinical lobectomy cases during January 2005 to January 2010 that showed signs of bleeding（over 1000 ml）,in order to obtain the best treatment outcome.Results：After surgery,18 cases（69.2%） of bleeding between 1000 ml-3000ml.5 cases（19.2%） of bleeding between 3000 ml 5000 ml.3 cases（11.5%） of bleeding over 5000ml.When bleeding occurs,besides chest surgical ligation with active bleeding,it shows the cryoprecipitate treatment has approached desired effects.Conclusion：Lobectomy for destroyed lung is a difficult surgery,and chances are there will be quite a large amount of bleeding may occur,especially to the patient who has tuberculosis destroyed lung,extra care and consideration are required.Preoperative,intraoperative application of hemostatic agents in a reasonable and proper hemostasis is critical to prevent and reduce bleeding.？ Application of cryoprecipitate in particular can play a good hemostatic effect.
出处
《现代生物医学进展》
CAS
2010年第12期2279-2280,共2页
Progress in Modern Biomedicine
关键词
毁损肺
手术
出血
冷沉淀
Destroyed lung
Operation
Bleeding
Cryoprecipitate
