Absorbable bandage wrapping in treatment of severe blast liver injury： a miniature swine model
Absorbable bandage wrapping in treatment of severe blast liver injury： a miniature swine model作者机构：Department of General Surgery Chinese People＇s Liberation Army General Hospital Beijing 100853 China
出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)
年 卷 期：2011年第124卷第22期
页 面：3757-3761页
核心收录：
学科分类：0710[理学-生物学] 071010[理学-生物化学与分子生物学] 1002[医学-临床医学] 081704[工学-应用化学] 07[理学] 08[工学] 0817[工学-化学工程与技术] 0905[农学-畜牧学] 09[农学]
主 题：wounds and injuries bandage hemostasis, surgical hepatectomy models, animal
摘 要：Background The aim of this research was to evaluate the feasibility and efficacy of absorbable bandage wrapping in the treatment of cases of severe liver trauma. Methods Electric firecrackers were detonated in 16 miniature swine to produce a severe blast liver injury. After fluid resuscitation, the animals were randomly divided into two groups （n=-8 each） and were either treated with absorbable bandage wrapping of the injured lobe of liver （Group B） or hepatic Iobectomy （Group H）. Time to hemostasis, blood loss during the treatment period, and other parameters were compared, including postoperative serum total bilirubin （TB）, alanine aminotransferase （ALT）, and aspartate aminotransferase （AST）. Results Blood loss during the treatment period was significantly lower in Group B than that in Group H （（81.3±26.0） ml vs. （130.8±2.9.5） ml, P=0.0031）. Serum AST and ALT were transiently increased post-surgically. These transient increases were significantly higher in Group B. No difference in time to hemostasis was noted （（8.70±2.27） minutes vs. （10.28±1.93） minutes, P=-0.1559） in Groups B and H, respectively. Two pigs were humanely euthanized 28 days post-surgically and the wrapped liver lobes appeared atrophies. Microscopically, there was evidence of emerging and mature fibrous tissue. Conclusion Absorbable bandaqe wrappinQ is both feasible and effective in the treatment of severe blast liver injury.
维普期刊数据库