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鼻腔内镜手术后填塞止血材料的选择
引用本文:饶丽华.鼻腔内镜手术后填塞止血材料的选择[J].现代医药卫生,2006,22(15):2281-2282.
作者姓名:饶丽华
作者单位:宜昌市二医院耳鼻喉科,湖北,宜昌,443000
摘    要:目的:探讨鼻腔内镜手术后合适的鼻腔止血材料和填塞方法的选择。方法:将临床上80例行鼻腔内镜手术后的患者随机分成四组,A组42例使用凡士林纱条填塞,B组9例用高分子棉填塞,C组5例使用明胶海绵填塞,D组24例使用明胶海绵加凡士林纱条填塞,统计术后出血量及时间,及重新填塞次数和并发症。结果:(1)出血:A组术后渗血3例.纱条抽出后出血2例。B组术后渗血2例,填塞状态下出血1例,C组海绵抽出后出血1例。(2)填塞时间:A组48d,时后出血量明显,延迟1.2天抽完纱条。(3)重新填赛次数:A组重新填塞2例,B组重新填塞1例,C组重新填塞2例。(4)并发症:A组眶周血肿1例,B和C组鼻中隔血肿2例。结论:应根据术腔情况选择不同的填塞材料,避免出血和并发症。

关 键 词:鼻腔手术  高分子棉  明胶海绵  鼻腔填塞材料
文章编号:1009-5519(2006)15-2281-02
收稿时间:2006-05-11
修稿时间:2006年5月11日

Choice of hemostatic materials for nasal packing after masal endoscopic surgery
RAO Li-hua.Choice of hemostatic materials for nasal packing after masal endoscopic surgery[J].Modern Medicine Health,2006,22(15):2281-2282.
Authors:RAO Li-hua
Abstract:Objective:To investigate the proper choice of hemostatic materials and packing method for nasal packing after nasal endoscopic surgery.Methods:Eighty cases of all sorts of nasal endoscopic surgery were randomly divided into four groups.Vaseline gauxe packing was used in 42 cases(group A),macromolecular material packing was used in 9 cases(group B),glutin sponge packing in 5 cases(group C),vaseline gauxe plus glutin sponge packing in 24 cases(group D).The volume and time of pastoperative bleeding,the number of repetitive packing and complication were observed.Results:(1)Bleeding:the postoperative ooxing of blood was 3 cases and bleeding after the abstraction of packing material was 2 cases in group A.The postoperative oozing of blood was 2 cases and bleeding under packing was 1 case in group B as well as bleeding after the abstraction of packing material was 1 case in group C.(2)The time of packing:The volume of bleeding was obvious in 48 hours after operation in group A,the obstraction of packing material was postponed for 1 to 2 days.(3)The number of packing:the repetitive packing was 2 cases in group A,1 case in group B and 2 cases in group C.(4)Complication:the periorbital hematoma was 1 case in group A,the nasal septum hematoma was 2 cases,1 case in group B and another one in group C.Conclusion:In order to prevent the postoperative bleeding and complication,the different kinds of packing materials should be chosen according to the nasal condition.
Keywords:Nasal endaseopie surgery  Maeromoleeular material  Glutin sponge  Nasal packing material
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