Особенности применения гемостатических материалов местного действия в хирургии

Особенности применения гемостатических материалов местного действия в хирургии

Автор: Луцевич О.Э., Гринь А.А., Бичев А.А., Шепелев В.В.

Журнал: Московский хирургический журнал @mossj

Рубрика: Клинические исследования

Статья в выпуске: 3 (49), 2016 года.

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Кровотечение является основным осложнением во время любой хирургической процедуры. Уровень послеоперационной госпитальной смертности коррелирует с объемом кровопотери. По данным Carson с коллегами, уровень смертности в 8%, характерный для кровопотери в 500 мл, возрастает до 42,9% при кровопотерях на уровне 2000 мл [13]. Эту зависимость можно также выразить регрессионной формулой «смертность (%) = = 0,0002*кровопотеря (мл) - 0,0363», которая позволяет спрогнозировать риск для пациента в заданном диапазоне кровопотери. Для снижения риска смертельного исхода от осложнений, связанных с кровопотерей, современная хирургия использует специальные гемостатические материалы местного применения, способные эффективно останавливать кровотечение там и тогда, когда применение коагуляционных электрохирургических систем либо опасно для пациента, либо нежелательно.

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Гемостатические материалы, кровотечение

Короткий адрес: https://sciup.org/142211254

IDR: 142211254

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