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尖吻蝮蛇血凝酶在妇科手术中应用的安全性及有效性观察 被引量:24

Evaluation the effects and safety of hemocoagulase agkistrodon on the hemostasis in patients undergoing gynecologic surgery
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摘要 目的观察及评价注射用尖吻蝮蛇血凝酶(HCA)在妇科手术中应用的安全性及止血效果。方法妇科手术病人39例,围手术期使用HCA辅助止血,观察给药前和给药后第3天,病人凝血功能、血常规、肝肾功能指标;同时观察药物对手术视野及出血量的影响。结果 HCA用于妇科手术止血,用药前与用药后第3天,凝血功能、血常规、肝肾功能指标无明显变化(P>0.01)。能明显清晰手术视野,减少出血量,止血有效率达87.18%。结论注射用尖吻蝮蛇血凝酶在妇科手术中应用安全、有效。 Objective To evaluate the effect of hemocoagulase agkistrodon(HCA) and the safety of this agent in gynecologic surgical patients.Methods Thirty-nine gynecologic surgical patients were included in this clinical trial and they were administrated by HCA in perioperative,then,the coagulative function,blood routine test,hepatic and renal function(PT,TT,APTT,FIB,WBC,RBC,HGC,PLT,ALT,TBIL,Bun,Cr) before and 3 days after the operation were compared.The surgical field and the hemorrhagic volume were accessed also.Results No significant difference in the coagulative function,hemostatic function,hepatic and renal function values between before and 3 days after the operation(P0.01).The hemorrhagic volume was reduced and the efficient reached 87.18%.Conclusion Hemocoagulase agkistrodon is safe and effective in gynecologic surgery.
作者 张迎辉
出处 《中国临床药理学杂志》 CAS CSCD 北大核心 2011年第4期259-261,共3页 The Chinese Journal of Clinical Pharmacology
关键词 尖吻蝮蛇血凝酶 妇科手术 安全性 止血 haemocoagulase agkistrodon gynecologic surgery safety hemostasis
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