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  Vol. 67 No. 5, May 1958 TABLE OF CONTENTS
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Prevention of Hemorrhages in E. N. T. Surgery by Interstitial Application of Thromboplastin

MAHMOUD KAMAL MUFTIE, M.D.

AMA Arch Otolaryngol. 1958;67(5):542-545.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The preoperative treatment for preventive hemostatis consists of supplying to the patient all necessary factors playing a role in blood clotting, and capillary retraction. Calcium salts, vitamin K preparations, different preparations of thromboplastin, blood transfusion, etc., are most commonly used. Vascular retraction and elasticity factors, such as vitamin C and P are also indicated in patients suffering from vascular rigidity and fragility.

In minor and less extensive operations in otorhinolaryngology, if local anesthesia used, the epinephrine and epinephrine-like substances produce the necessary ischemia of the operative field. Even if the vasoconstrictor activity stops during operation, a local application of epinephrine is indicated. The disturbing element in this case is the reflex hyperemia which starts after epinephrine action is arrested. Local application of different preparations containing thromboplastin help very much in obtaining a dry field, and prevent blood loss in cases of diffuse bleeding. Unfortunately there are few indications as to . . . [Full Text PDF of this Article]


Author Affiliations

Basrah, Iraq


Footnotes

Accepted for publication April 23, 1956.



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