新型功能性止血敷料在PICC置管后持续渗血者中的应用进展

      Progress in Application of Novel Functional Hemostatic Dressings in Patients with Continuous Bleeding after PICC Catheterization

      • 摘要: 经外周置入中心静脉导管(peripherally inserted central catheter, PICC)置管后渗血发生率高,增加了穿刺点感染、非计划性拔管的风险,置管早期需使用止血敷料减少渗血。新型止血敷料种类繁多、各具优势,给医护人员的敷料选择造成了困难。该文介绍了新型功能性止血敷料的类型及止血特征,分别综述了壳聚糖、氰基丙烯酸酯胶、藻酸盐、明胶海绵、氧化纤维素敷料的止血机制及在PICC穿刺点的止血效果,并对新型功能性止血敷料的研制前景进行了展望。未来止血敷料将向多能化、复合化方向发展。

         

        Abstract: The high incidence of bleeding after peripherally inserted central catheter (PICC) catheterization increases the risk of puncture site infection and unplanned extubation. Hemostatic dressings should be used in the early stages of catheterization to reduce blood infiltration. However, new hemostatic dressings have various types and advantages, which makes them difficult to choose dressings for medical staff. This paper introduces the types and hemostatic characteristics of novel functional hemostatic dressings, reviews the hemostatic mechanism and hemostatic effect of chitosan, cyanoacrylate gum, alginate, gelatin sponge and oxycellulose dressings in PICC puncture respectively, and prospects the development of new functional hemostatic dressings. It is expected that future hemostatic dressings will move towards multifunctionality and compositeness.

         

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