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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">nmp</journal-id><journal-title-group><journal-title xml:lang="ru">Журнал им. Н.В. Склифосовского «Неотложная медицинская помощь»</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Sklifosovsky Journal "Emergency Medical Care"</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2223-9022</issn><issn pub-type="epub">2541-8017</issn><publisher><publisher-name>“N.V. Sklifosovsky Research Institute for Emergency Medicine”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.23934/2223-9022-2021-10-2-337-346</article-id><article-id custom-type="elpub" pub-id-type="custom">nmp-1164</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Локальные гемостатические средства в хирургической практике</article-title><trans-title-group xml:lang="en"><trans-title>Local Hemostatic Agents in Surgical Practice</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0817-9573</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Калинин</surname><given-names>Р. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Kalinin</surname><given-names>R. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, заведующий кафедрой сердечно-сосудистой, рентгенэндоваскулярной, оперативной хирургии и топографической анатомии,</p><p>390026, Рязань, ул. Высоковольтная, д. 9</p></bio><bio xml:lang="en"><p>Doctor of Medical Sciences, Professor, Head of the Department of Cardiovascular, X-ray Endovascular,  Operative Surgery and Topographic Anatomy,</p><p>9 Vysokovoltnaya St., Ryazan, 390026</p></bio><email xlink:type="simple">kalinin-re@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1292-5452</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сучков</surname><given-names>И. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Suchkov</surname><given-names>I. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук, профессор, профессор кафедры сердечно-сосудистой, рентгенэндоваскулярной, оперативной хирургии и топографической анатомии,</p><p>390026, Рязань, ул. Высоковольтная, д. 9</p></bio><bio xml:lang="en"><p>Doctor of Medical Sciences, Professor, Professor of the Department of Cardiovascular, X-ray Endovascular, Operative Surgery and Topographic Anatomy,</p><p>9 Vysokovoltnaya St., Ryazan, 390026</p></bio><email xlink:type="simple">suchkov_med@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Базаев</surname><given-names>С. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Bazaev</surname><given-names>S. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>ординатор кафедры сердечно-сосудистой, рентгенэндоваскулярной, оперативной хирургии итопографической анатомии,</p><p>390026, Рязань, ул. Высоковольтная, д. 9</p></bio><bio xml:lang="en"><p>Resident of the Department of Cardiovascular, X-ray Endovascular, Operative Surgery and Topographic  Anatomy,</p><p>9 Vysokovoltnaya St., Ryazan, 390026</p></bio><email xlink:type="simple">dr_bazaev@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2393-0716</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Крылов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Krylov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук, ассистент кафедры сердечно-сосудистой, рентгенэндоваскулярной, оперативной хирургии и топографической анатомии,</p><p>390026, Рязань, ул. Высоковольтная, д. 9</p></bio><bio xml:lang="en"><p>Candidate of Medical Sciences, Assistant of the Department of Cardiovascular, X-ray Endovascular, Operative Surgery and Topographic Anatomy,</p><p>9 Vysokovoltnaya St., Ryazan, 390026</p></bio><email xlink:type="simple">andrewkrylov1992@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ФГБОУ ВО «Рязанский государственный медицинский университет им. акад. И.П. Павлова» МЗ РФ<country>Россия</country></aff><aff xml:lang="en">I.P. Pavlov Ryazan State Medical University of Ministry of Health of the Russian Federation<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>24</day><month>08</month><year>2021</year></pub-date><volume>10</volume><issue>2</issue><fpage>337</fpage><lpage>346</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Калинин Р.Е., Сучков И.А., Базаев С.Б., Крылов А.А., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Калинин Р.Е., Сучков И.А., Базаев С.Б., Крылов А.А.</copyright-holder><copyright-holder xml:lang="en">Kalinin R.E., Suchkov I.A., Bazaev S.B., Krylov A.A.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.jnmp.ru/jour/article/view/1164">https://www.jnmp.ru/jour/article/view/1164</self-uri><abstract><p>В настоящее время в экстренной хирургии большое значение придается надежному интраоперационному гемостазу, для достижения которого имеет место применение локальных гемостатических средств. Использование данных средств имеет тенденцию к увеличению. Сами гемостатические агенты подразделяются на три основные группы. В свою очередь каждая группа имеет свои физико-химические особенности и различные способы применения. Перед хирургом стоит задача выбрать и правильно использовать конкретное гемостатическое средство в конкретной клинической ситуации, особенно экстренной. </p></abstract><trans-abstract xml:lang="en"><p>At present, in emergency surgery, great importance is attached to reliable intraoperative hemostasis, for the achievement of which local hemostatic agents are used. The use of these funds tends to increase. The hemostatic agents are divided on 3 main groups. In turn, each group has its own physical and chemical characteristics and different ways of application. The surgeon have task of choosing and correctly using a specific hemostatic agent in a specific clinical situation, especially an emergency one. </p></trans-abstract><kwd-group xml:lang="ru"><kwd>гемостатические средства</kwd><kwd>локальный гемостаз</kwd><kwd>hemostatic</kwd><kwd>hemostasis</kwd><kwd>hemostatic techniques</kwd><kwd>sealant</kwd><kwd>fibrin</kwd><kwd>fibrinogen</kwd><kwd>vascular surgery</kwd></kwd-group><kwd-group xml:lang="en"><kwd>hemostatic</kwd><kwd>hemostasis</kwd><kwd>hemostatic techniques</kwd><kwd>sealant</kwd><kwd>fibrin</kwd><kwd>fibrinogen</kwd><kwd>vascular surgery</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Christensen MC, Dziewior F, Kempel A, von Heymann C. Increased chest tube drainage is independently associated with adverse outcome after cardiac surgery. J Cardiothorac Vasc Anesth. 2012;26(1):46–51. 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