Clinical analysis of 7 cases of Patch-skill for controlling refractory bleeding in open heart surgery
10.3760/cma.j.issn.1008-6315.2009.02.033
- VernacularTitle:补片法控制心脏直视手术中难治性出血七例临床分析
- Author:
Genxing XV
;
Song XUE
;
Feng LIAN
;
Ritai HUANG
;
Zhenlei HU
;
Sha LIU
;
Bo XIE
;
Weijan WANG
;
Dafu SHEN
;
Yinghua WANG
;
Jianggui SHAN
- Publication Type:Journal Article
- Keywords:
Open heart surgery;
Refract bleeding;
Pateh-skill;
Autalogous percardium
- From:Clinical Medicine of China
2009;25(2):192-193
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of 'patch-skill'in the management of refractory bleeding during the process of open heart surgery.Methods Between May 2007 to Oetober 2008,7 patients undergoing open-heart surgery experienced active bleeding.Autologous perieardial patches were used in 6 patients, and polyester patch in the other one.The patches were sutured continuously by 5-0 Prolene suture.Results The 24 hour chest tube output was less than 500 ml in all 7 cases after operation.There were no death, secondly active bleeding,or mediastinal in-faction.Conclusion The'patch-skill' can effectively control the refractory bleeding during open heart surgery.Au-tologous perieardial patehe is the first choice because it has multiple advantages.The polyester patch ean be used al-ternatively when autologous pereardiurn cannot be used (for various reasons such as edema and infection).
