Clinical analysis of 7 cases of Patch-skill for controlling refractory bleeding in open heart surgery

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).