摘要
目的观察脑挫裂伤术中使用止血材料对术后再出血的预防作用。方法回顾性分析2002年6月—2010年8月我院手术治疗的脑挫裂伤患者（GCS3~9分）442例,其中术中使用止血纱（SURGI-CELL,美国强生公司生产）220例;使用明胶海绵126例;单纯手术96例。结果止血纱组及明胶海绵组术后再出血发生率明显低于单纯手术组,明胶海绵组与单纯手术组比较有统计学意义（P〈0.05）;止血纱组与单纯手术组比较差异有统计学意义（P〈0.01）。结论脑挫裂伤术中使用止血纱及明胶海绵均可降低术后再出血的发生率,而止血纱是更为理想的局部止血材料。
Objective To investigate the clinical effect of hemostatic materials for preventing haemorrhagia after cerebral contusions and lacerations（CCL） surgery.Methods A retrospective analysis of 442 patients with CCL（GCS scored 3 to 9 points） was performed,among whom 220 used hemostatic materials（Surgicel,Johnson Johnson Co.,Ltd）,126 used gelatin sponge,and 96 received surgeries to prevent rehaemorrhagia,respectively.Results Rehaemorrhagia showed remarkable reduce in patients used hemostatic materials and gelatin sponge compared with that of the patients after surgery（P0.05,P0.01）.Conclusions Both Hemostatic materials and gelatin sponge can reduce hemorrhagia after CCL surgery,and hemostatic materials is the most efficient for local hemostasis.
出处
《中国煤炭工业医学杂志》
2011年第7期965-967,共3页
Chinese Journal of Coal Industry Medicine
关键词
脑挫裂伤
止血纱
明胶海绵
再出血
预防
cerebral contusions and lacerations
absorbable hemostatic gauze
gletin sponge
rehaemorrhagia
prevention
