Application of rapid hemostatic device in scalp laceration under simulated field conditions

doi:10.3877/cma.j.issn.2095-9141.2021.01.007

Abstract

Abstract:

Objective

To explore the application of rapid hemostatic device in scalp laceration hemostasis under simulated battlefield conditions.

Methods

A total of 55 patients with craniocerebral trauma admitted to Neurosurgery Department of 960^th Hospital of PLA from January 2019 to October 2020 were selected and randomly divided into 2 groups by random number assignment method: control group (n=28) and treatment group (n=27). The control group were treated with traditional scalp clamps to clamp a single scalp clip, while the treatment group were treated with a fast scalp hemostatic device to clamp. The time of craniotomy, the amount of blood loss during craniotomy, the time of operation, the rate of rupture or bouncing of the skull clip during operation, and the postoperative scalp healing were compared between the two groups.

Results

The time of scalp clip placement and operation in the experimental group was significantly shorter than that in the control group, and the amount of bleeding was less than that in the control group, with statistical significance (P<0.05). There was no statistically significant difference in the rate of rupture and bouncing of the skull clip during operation, and the postoperative scalp healing between the two groups (P>0.05).

Conclusion

The rapid scalp hemostatic device can simplify craniotomy operation, shorten craniotomy time, reduce the amount of bleeding during craniotomy, and do not affect the recovery of postoperative skin incision margin.

Key words: Scalp laceration, Rapid scalp hemostatic device, Field surgery

Guangzhen Xu, Bing Wang, Dongliang Guo, Weijie Zhu. Application of rapid hemostatic device in scalp laceration under simulated field conditions[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2021, 07(01): 29-32.

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Figures/Tables 4

References 16

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组别	例数	安置头皮夹时间(min)	手术时间(min)	术中出血量(mL)
对照组	28	11.50±2.10	131.18±13.85	145.90±35.46
试验组	27	6.81±1.57	120.37±7.84	72.41±19.58
t值		9.346	3.543	9.464
P值		0.000	0.001	0.000

组别	例数	安置头皮夹时间(min)	手术时间(min)	术中出血量(mL)
对照组	28	11.50±2.10	131.18±13.85	145.90±35.46
试验组	27	6.81±1.57	120.37±7.84	72.41±19.58
t值		9.346	3.543	9.464
P值		0.000	0.001	0.000

组别	例数	甲级	乙级	丙级
对照组	28	20(71)	6(21)	2(7)
试验组	27	22(81)	4(15)	1(4)
χ²值			0.811
P值			0.667

组别	例数	甲级	乙级	丙级
对照组	28	20(71)	6(21)	2(7)
试验组	27	22(81)	4(15)	1(4)
χ²值			0.811
P值			0.667

组别	头皮夹个数	破裂率	弹飞率
对照组	503	10(1.99)	8(1.59)
试验组	524	8(1.88)	7(1.65)
χ²值		0.222	0.067
P值		0.637	0.769

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