S-100吸收性止血绫在体外循环心脏直视手术中的应用  

The application of S-100 hemostatic silk in open heart surgery under extracorporeal circulation

作　　者：朱一林 Zhu Yilin(Cardiac surgery,the Second Hospital of Lanzhou University,Lanzhou,Gansu 730030,China)

机构地区：[1]兰州大学第二医院,甘肃兰州730030

出　　处：《首都食品与医药》2023年第21期19-23,共5页Capital Food Medicine

摘　　要：目的分析在ECC心脏直视手术中应用S-100吸收性止血绫的临床效果.方法该研究是回顾性研究.纳入兰州大学第二医院心脏外科2020年1月-2022年12月诊治的实施ECC心脏直视手术患者106例.根据术中是否应用S-100将其分成两个组,对照组(n=37,不应用S-100止血)和观察组(n=69,应用S-100止血).统计并比较两组的围术期相关指标(CPB转流时间、超滤量、心脏停跳时间、胸腔引流量、术后机械通气时间、重症监护时间),两组不良事件发生情况(自动复跳比例、安置临时起搏器比例、二次开胸比例).结果围手术期指标比较:观察组术后胸腔引流量少于对照组(t=2.160),重症监护时间较对照组缩短(t=2.091),两组比较,差异有统计学意义,P<0.05.观察组1例(1.45%)术后出血,对照组5例(13.51%)术后出血,两组比较,差异有统计学意义,χ^(2)=5.590,P<0.05.结论在ECC心脏直视手术中应用S-100止血绫对于彻底止血、促进手术完成及减少术后并发症具有独特的应用价值.Objective To analyze the clinical effect of S-100 hemostatic gauze(S-100)applied in ECC open heart surgery.Methods This study is a retrospective study.106 patients who underwent ECC open heart surgery from January 2020 to December 2022 were included in Cardiac surgery of the Second Hospital of Lanzhou University.According to whether S-100 was used during surgery,it was divided into two groups:the control group(n=37,don't apply S-100 to stop bleeding)and the observation group(n=69,apply S-100 to stop bleeding).Collect and compare perioperative related indicators(CPB bypass time,ultrafiltration volume,cardiac arrest time,thoracic drainage volume,postoperative mechanical ventilation time,and intensive care time)between the two groups,as well as the incidence of adverse events(automatic rebound ratio,temporary pacemaker placement ratio,and secondary thoracotomy ratio)between the two groups.Results Comparison of perioperative indicators:the postoperative thoracic drainage volume in the observation group was less than that in the control group(t=2.160),and the intensive care time was shorter than that in the control group(t=2.091).The difference between the two groups was statistically significant,P<0.05.The observation group had 1 case(1.45%)of postoperative bleeding,while the control group had 5 cases(13.51%)of postoperative bleeding.The difference between the two groups was statistically significant,χ^(2)=5.590,P<0.05.Conclusions The application of S-100 hemostatic gauze in ECC open heart surgery has unique application value for complete hemostasis,promoting surgical completion,and reducing postoperative complications.

关 键 词：体外循环 心脏直视手术 出血 血液保护 S-100吸收性止血绫 

分 类 号：R654.2[医药卫生—外科学]