巴曲亭局部应用在鼻腔泪囊吻合术中的止血效果观察

目的观察巴曲亭（蛇毒血凝酶）局部应用在鼻腔泪囊吻合术中的止血效果。方法60例慢性泪囊炎患者随机均分为巴曲亭治疗组和止血敏对照组，术前检测血浆凝血酶原时间（PT）、活化部分凝血酶原时间（APTT）、纤维蛋白原（FIB），观察局部用药后的术中止血效果，比较两组患者的术中出血量。结果巴曲亭组术中出血量显著减少，与对照组比较差异有显著性（P〈0．01）。结论巴曲亭局部应用可显著减少鼻腔泪囊吻合术中的出血量、保持术野清晰，可作为鼻腔泪囊吻合术中局部应用的止血药物。

Observation of the Hemostatic Effect of Hemocoagulase Local Application in Dacryocystorhinostomy

ObjectiveTo observe the hemostatic effect of hemocoagulase local application in dacryocystorhinostomy.Methods60 patients with chronic dacryocystitis were randomly divided into two groups:hemocoagulase group and etamsylate group as control.Prothrombin time (PT),partial thromboplastin time (APTT),fibrinogen content (FIB)were detected preoperatively,the hemostatic effect of local application in dacryocystorhinostomy was observed,and blood loss of two groups were compared.ResultsThere was significant difference in blood loss between two groups(P<0.01).ConclusionHemocoagulase local application can significantly reduce the bleeding,maintain a clear surgical field.