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目的:探讨冷沉淀在毁损肺叶切除术后发生大出血的临床应用。方法:对我院2005年1月~2010年1月间26例毁损肺叶切除手术出现大出血(>1000ml)的处理方法进行回顾性总结分析。结果:术后出血1000ml～3000ml有18例(69.2%),3000～5000ml有5例(19.2%)。5000ml以3例(11.5%)。遇到大出血,除了开胸结扎活动性出血外,用冷沉淀治疗均达到了满意的疗效,结论:毁损肺手术难度大,出血多,特别是结核性毁损肺的病人手术要慎重。术前、术中合理应用止血药物和正确的止血方法是防止和减少出血的关键,特别是冷沉淀的应用能起到理想的止血效果。
Objective: To investigate the clinical application of cryoprecipitate in the occurrence of major hemorrhage after lobar lobectomy. Methods: A retrospective analysis was performed on the treatment of major bleeding (> 1000ml) in 26 cases of destructive lobectomy in our hospital from January 2005 to January 2010. Results: Postoperative bleeding 1000ml ~ 3000ml in 18 cases (69.2%), 3000 ~ 5000ml in 5 cases (19.2%). 5000ml in 3 cases (11.5%). Encountering major bleeding, in addition to thoracotomy ligation of active bleeding, the use of cryoprecipitate treatment have reached a satisfactory effect, Conclusion: The destruction of lung surgery is difficult, more bleeding, especially tuberculosis patients with lung damage surgery should be cautious. Preoperative and intraoperative rational use of hemostatic drugs and the correct method of hemostasis to prevent and reduce bleeding is the key, especially the application of cryoprecipitate can play an ideal hemostatic effect.