摘要
目的探讨两种吸收性止血材料(止血纱布和明胶海绵)在眼眶手术中局部创面贴敷止血的效果及术后护理方法。方法对手术中利用止血纱布(39例)或明胶海绵(50例)局部创面贴敷止血的眼眶病患者进行回顾性分析。结果止血纱布的止血成功率为100%,平均止血时间为(9.5±2.1)min,平均出血量为(112±13)ml,2例患者发现有脓肿、肿瘤样征象;明胶海绵的止血成功率为88%,平均止血时间为(21.1±4.9)min,平均出血量为(392±61)ml,4例患者出现视力检测异常。结论可吸收止血纱布组织相容性好,使用方便、安全,止血效果可靠,是眼眶手术局部止血的理想材料,且便于术后护理。
Objective To assess the hemostatic effect of two absorbable hemostatic materials (hemostatic gauze and gelatin sponge) in orbital surgery and discuss the nursing strategy.Methods 39 patients who used absorbable hemostatic gauze and 50 patients who used absorbable gelatin sponge for hemostasis in orbital surgery were retrospectively reviewed and the hemostatic effects of the two materials were compared.Results The success rate of hemostatic gauze was 100%, the mean hemostatic time was(9.5±2.1)min,and the mean blood loss was(112±13)ml.There were two patients who presented with foreign body reactions mimicking an abscess or tumor recurrence. The success rate of gelatin sponge was 88%, the mean hemostatic time was(21.1±4.9)min,and the mean blood loss was(392±61)ml. There were four patients who had abnormalities in visual monitoring.Conclusion Absorbable hemostatic gauze has better histocompatibility,and is much safer,convenient and effective for local hemostasis in orbital surgery. It is convenient for postoperative nursing care.
出处
《解放军护理杂志》
2005年第6期4-6,共3页
Nursing Journal of Chinese People's Liberation Army
关键词
吸收性止血材料
眼眶手术
止血纱布
明胶海绵
护理
absorbable hemostatic agent
orbital surgery
hemostatic gauze
gelatin sponge
nursing care
