手套包扎法用于手植皮术中创面止血十例

Ten cases of wound hemostasis with glove bandaging in hand skin grafting

2018年7月—2019年4月,解放军总医院第四医学中心收治10例需植皮的患者(男8例、女2例,年龄5~53岁),共17只患手,将手套包扎法用于植皮术中止血。术中初步止血后,以无菌乳胶手套作为手的内层覆盖物,再以纱布加压包扎,20 min后由近及远依次去除纱布和手套,再次彻底止血,最后植皮。手套作为内层覆盖物避免了纱布纤维与创面粘连,不会在打开包扎时造成小血管再次出血,减少了电凝的过度使用及对创面的二次损伤,减少失血量、缩短止血时间。

From July 2018 to April 2019,10 patients(8 males and 2 females,aged 5 to 53 years)who need skin grafting with 17 hands were admitted to the Fourth Medical Center of PLA General Hospital.The method of glove bandaging was used for wound hemostasis in skin grafting.After the initial hemostasis,sterile latex gloves were used as the inner cover of hand,and then pressure-wrapped with gauze.After 20 minutes,the gauze and gloves were removed in order from the near to the far,then thorough hemostasis was conducted again,and finally skin grafting was performed.The use of gloves as inner cover can avoid the adhesion of gauze fibers to the wound surface,so that it will not cause small blood vessels to re-bleed when the gauze is removed,therefore reducing the excessive use of electrocoagulation and secondary damage to the wound.As a result,blood loss can be reduced and hemostatic time can be shortened.