成人心脏术后心包胸骨后固定后的出血患者70例临床分析

目的研究心脏手术关胸时渗血严重病例,用心包胸骨后固定方法,观察术后出血情况,了解此方法是否能够减少术后出血。方法选择同期心脏手术后渗血严重心包完整病例,对比心包胸骨后固定后出血量、术后感染、胸腔积液、心包填塞、呼吸机使用时间及血流动力学改变是否有明显差别。结果心包胸骨后固定在心脏手术后渗血严重心包完整病例中,能有效减少术后出血量,减少用血量,减少医疗费用,证明心包胸骨后固定不失为减少术后出血的一个办法。结论对比心脏手术心包完整创面渗血严重病例,关胸时,将心包胸骨后固定,以此将前纵隔和心包腔分隔开,心包紧贴于胸骨后,以此达到压迫止血目的。对比类似常规关胸病例,出血明显减少,证明心包胸骨后固定能够有效减少术后出血,减少术后用血量,降低医疗费用。

Clinical Analysis of Bleeding about 70 Cases with Adult Retrosternal Fixation of the Pericardium after Postcardiotomy

Objective To investigate the cases with serious postoperative exudation, observing the postcardiotomy bleeding amount to find out whether the retrosternal f ixation of the pericardium is an effective way of hemostasis. Method Select the same period a serious pericardial bleeding after cardiac surgery cases complete, compared to bleeding after cardiac retrosternal f ixation, postoperative infection, pleural effusion, pericardial tamponade, ventilator and hemodynamic changes in the use of time whether there i...