多孔止血淀粉在肾脏中止血效果的初步实验研究.pdfVIP

152O 重庆医学2008年7月第37卷第14期 · 论 著 · 多孔止血淀粉在肾脏中止血效果的初步实验研究 余雪松，黄赤兵△，张银甫，冯嘉瑜 (第三军医大学新桥医院泌尿外科，重庆400037) 摘 要：目的 观察多孔止血淀粉(porous hemostatic starch，PHs)对肾脏出血的止血效果 方法 选用成年家兔5O只，在 两侧肾脏表面各做约lcm×0．5cm大小的出血创面，以随机分组用PHS对一侧出血创面进行止血，以阿里斯泰(Arista)止血粉对 另一侧同样创面的止血为对照，观察在不同压迫时间段内的止血情况，并记录即时止血时间及出血量。结果 PHS和 Arista止 血粉能起到较好止血效果的最短压迫时间均为30s，止血时间分别为(74．0±12．94)S和(76．0±6．12)S，出血量分别为(0．80士 0．158)mL和(0．84±0．114)mI ；两组差异无统计学意义(P0、05)；其他不同压迫时间下，两组的止血时间和出血量差异也无统 计学意义。结论 PHS能达到与Arista止血粉相同的止血效果。 关键词：出血；肾脏；止血；多孔止血淀粉 中图分类号：R692；R973、1 文献标识码：A 文章编号：1671-8348(20O8)14—152O一02 Preliminary study of hemostatic function of porous hemostatic starch in kidney YU Xue—song，HUANG Chi—bing ，ZHANG Yin～fu，et a1． ‘ (Department of Urology，Xinqiao Hospital，Third Military Medical University，Chongqing 400037，China) Abstract：Objective To observe the hemostasis effect of porous hemostatic starch(PHS)in kidney．Methods Chosing fifty rabbits，lcm×0、5cm wound area was made randomly in the surface of kidney of the rabbits．PHS was used in one wound area， Arista was used on the same WOund surface as contrast．the blood lOSS and time tO hemostasis were accurately recorded in differ— ent compression times．Results The shortest times to compress wound area with P HS and Arista ”were both thirty seconds，time tO hemostasis of PHS and Arista were(74．0±12、94)S and(76、0±6、12)S respectively；the blood loss of PHS and Arista were (0．80±0、158)mL and(O、84士0．114)mI respectively，there was no statistical significance between PHS and Arista ；the others， compression times and blood loss。had no statistical significance between PHS and Arista too．Conclusion PHS has the same he— mostasis effect as Arista ． Key words：bleeding；kindney；hemostasis；porous hemostatic starch(PHS) 止血是临床治疗