组织胶敷料对肢体多发伤伤口的止血研究  

Hemostasis study of tissue colloid dressing for limb multi-injury

作　　者：孙鸿涛[1] 裴国献[1] 王运斗[1] 张洪涛[1] 张敬良[1] 

机构地区：[1]南方医院全军创伤骨科中心,广州市510515

出　　处：《医疗卫生装备》2004年第11期8-10,共3页Chinese Medical Equipment Journal

基　　金：全军"十五"医学科研基金(022001)资助

摘　　要：目的:了解组织胶敷料对伴有肢体大动脉破裂多发伤伤口的止血效果。方法:选取10头猪,用切割法在每头猪左后腿内侧做一个深及肌层并使左股动脉部分断裂的小面积伤口,其右后腿臀部再制作一个深及肌层的直径10cm的大面积渗血伤口。对每头猪左腿伤口采用止血带临时包扎止血、擦拭伤口后喷组织胶敷料、10min后放松止血带,右臀部伤口直接向创面喷组织胶敷料的方法进行止血,12h内观察止血效果。结果:动脉破裂伤口止血成功率为80%,而大面积渗血伤口止血成功率为100%。结论:对于伴有肢体大动脉破裂的多发伤伤口,采用先扎止血带暂时控制动脉出血,再分别向各伤口喷洒组织胶敷料,10min后放松止血带的方法止血成功率高,是最佳止血方法。This paper is to study hemostasis effectiveness of tissue colloid dressing for multi-injury with limb aorta ruptured. 10 pigs adopted as the subjects a small muscularis-deep incision is made on each one's left leg with left femoral ruptured and a big muscularis-deep incision 10cm in diagram is made on each one's right leg with blood oozing. The incision on left leg is treated with the tourniquet and tissue colloid dressing in turn and the tourniquet is taken down after 10 minutes. The incision on right leg is treated only with the tissue colloid dressing. The hemostasis results are checked after 12 hours. The hemostasis rate of the former is 80% and the hemostasis rate of the latter is 100%. The results show that the former hemostasis method is the best for multi-injury with aorta ruptured.

关 键 词：组织胶敷料 肢体多发伤 伤口 止血 急救 创面 

分 类 号：R658[医药卫生—外科学]