SU1655505A1 - Method for preventing postsurgical hemorrhage in cases of operations on thyroid gland - Google Patents
Method for preventing postsurgical hemorrhage in cases of operations on thyroid gland Download PDFInfo
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- SU1655505A1 SU1655505A1 SU884659327A SU4659327A SU1655505A1 SU 1655505 A1 SU1655505 A1 SU 1655505A1 SU 884659327 A SU884659327 A SU 884659327A SU 4659327 A SU4659327 A SU 4659327A SU 1655505 A1 SU1655505 A1 SU 1655505A1
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- bleeding
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Abstract
Изобретение относитс к медицине, в частности к хирургии. Цель - повышение эффективности профилактики послеоперационных кровотечений за счет создани регулируемого воздействи при исключении участи пациента. Это достигаетс тем, что дл проведени провокации кровотечени в операционной ране до ее ушивани больному ввод т препарат, вызывающий кратковременную гипертензию.The invention relates to medicine, in particular to surgery. The goal is to increase the effectiveness of prophylaxis of postoperative bleeding by creating a controlled effect while eliminating the patient's fate. This is achieved by administering a drug that causes short-term hypertension to conduct bleeding in the surgical wound before it is sutured.
Description
Изобретение относитс к медицине, в частности хирургии.This invention relates to medicine, in particular surgery.
Цель - повышение эффективности профилактики послеоперационных кровотечений за счет создани регулируемого воздействи при исключении участи пациента .The goal is to increase the effectiveness of prophylaxis of postoperative bleeding by creating a controlled effect while eliminating the patient's fate.
Способ осуществл ют следующим образом .The method is carried out as follows.
При хирургическом вмешательстве на щитовидной железе в начале ревизии раны больному внутривенно ввод т 1%-ный раствор мезатона в пропорции 0,2 мл на 20 мл изотонического раствора хлорида натри . Через 25-30 сив течение 3-5 мин этот препарат обеспечивает кратковременное повышение артериального давлени . За это врем визуально определ ют местонахождение кровоточащих сосудов и при их наличии провод тлигирование.During surgical intervention on the thyroid gland, at the beginning of the wound revision, a 1% solution of mesatone is injected intravenously into a patient in a proportion of 0.2 ml per 20 ml of isotonic sodium chloride solution. After 25-30 siv for 3-5 minutes, this drug provides a short-term increase in blood pressure. During this time, the location of the bleeding vessels is visually detected and, if they are present, the binding is performed.
Пример. Больна С., 41 год, диагноз - эутиреоидный узловой зоб IV степени. Гипертоническа болезнь II Б стадии. Больна оперирована под интубационным наркозом с управл емой гипотонией при помощи ганглиоблокатора короткого действи - 1%-ныи раствор имехина. Произведена субтотальна субфасциальна струмэкто- ми . К концу операции во врем ревизии раны внутривенно струйно введен 1%-ный раствор мезатона в пропорции 0,2 мл на 20 мл изотонического раствора хлорида натри . Через 30 с и в течение 4 мин АД повысилось и держалось до 195/100 мм рт.ст.. вы влены кровоточащие сосуды, которые были тщательно лигированы. Послеоперационное течение протекало гладко. Заживление раны первичным нат жением.Example. Sick S., 41 years old, diagnosed with euthyroid nodular goiter, IV degree. Hypertensive disease II B stage. The patient was operated on under intubation anesthesia with controlled hypotension using a short-acting ganglioblokator with a 1% solution of iminechin. Subtotal subfascial strumectoids were produced. At the end of the operation, during the revision of the wound, a 1% solution of mezaton was injected intravenously in a proportion of 0.2 ml per 20 ml of isotonic sodium chloride solution. After 30 s and within 4 min., The blood pressure increased and remained at 195/100 mm Hg. Bleeding vessels were revealed, which were carefully ligated. The postoperative course was uneventful. Wound healing by primary tension.
Предложенный способ использован в НИИ клинической и экспериментальной хирургии на 43 больных: 38 больных, оперированных подобщим обезболиванием, 5больных- под местной анестезией, со 100%-ным положительным результатом.The proposed method was used in scientific research institutes of clinical and experimental surgery on 43 patients: 38 patients operated on with general anesthesia, 5 patients under local anesthesia, with a 100% positive result.
Использование предложенного способа позвол ет проводить эффективную профилактику послеоперационного кровотечени при хирургическом вмешательстве на щитовидной железе за счет более тщательного гемостаза при ревизии раны в конце операции.The use of the proposed method permits effective prophylaxis of postoperative bleeding during surgical intervention on the thyroid gland due to more thorough hemostasis during wound revision at the end of the operation.
СПSP
сwith
с ел ел ел о елwith ate ate ate about ate
вы вить источники артериального и венозного кровотечений, исключить проведение повторных оперативных вмешательств в послеоперационном периоде и уменьшить сроки лечени .identify sources of arterial and venous bleeding, eliminate repeated postoperative interventions in the postoperative period, and reduce the duration of treatment.
Claims (1)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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SU884659327A SU1655505A1 (en) | 1988-12-06 | 1988-12-06 | Method for preventing postsurgical hemorrhage in cases of operations on thyroid gland |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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SU884659327A SU1655505A1 (en) | 1988-12-06 | 1988-12-06 | Method for preventing postsurgical hemorrhage in cases of operations on thyroid gland |
Publications (1)
Publication Number | Publication Date |
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SU1655505A1 true SU1655505A1 (en) | 1991-06-15 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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SU884659327A SU1655505A1 (en) | 1988-12-06 | 1988-12-06 | Method for preventing postsurgical hemorrhage in cases of operations on thyroid gland |
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SU (1) | SU1655505A1 (en) |
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1988
- 1988-12-06 SU SU884659327A patent/SU1655505A1/en active
Non-Patent Citations (1)
Title |
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Брейдо И.С. Операции на щитовидной железе. Л., 1969, с. 125. * |
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