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目的探讨烧伤植皮手术中运用注液肿胀止血法对减少取皮过程中失血胡临床效果观察。方法应用0.1%肾上腺素加生理盐水配成肿胀液,根据患者供皮区大小适量皮下注入,同时观察患者心率、血氧饱和度、血压、供区出血情况。使供皮区皮肤充分肿胀后取皮。结果注射肿胀液后取皮,患者心率、氧饱和度、血压情况无异常变化;供区出血量明显降低,可达到“零失血”。结论注液肿胀法通过肿胀液压迫血管管和肾上腺素收缩血管的共同作用,可明显减少以取皮过程中的失血及术中输血量,使手术取皮区视野清楚;供区处理简单,减少输血量,节省费用。尤适用于小儿取皮术。
Objective To investigate the clinical effect of transplanting hemostasis and hemostasis on the reduction of blood loss during the skin grafting in burn skin grafting. Methods 0.1% epinephrine and normal saline were mixed into a swollen liquid. According to the size of the donor skin area, subcutaneous injection was performed. The heart rate, blood oxygen saturation, blood pressure and blood supply were also observed. Skin for the skin area after the full skin to take the skin. Results After injection of swollen liquid, the skin was taken out. There was no abnormal change of heart rate, oxygen saturation and blood pressure in the patients. The amount of hemorrhage in the donor area was significantly reduced, reaching “zero blood loss”. Conclusions Infusion swelling method by the swelling of the blood vessels and adrenal systolic blood vessels together, can significantly reduce the blood loss during the process of taking the skin and intraoperative blood transfusion, so that the visual field of surgery to take a clear area; for the district to deal with simple and reduce Blood transfusion, save costs. Especially suitable for pediatric dermatology.