急诊介入治疗在盆腔外伤导致闭合性血管损伤中的应用  

The Emergency Interventional Therapy in Closed Vessel Injury Caused by the Pelvis Trauma

作　　者：张战利[1] 卢国庆[1] 张炎[2] 

机构地区：[1]河南省新乡市第一人民医院介入放射科,河南新乡453000 [2]郑州大学第一附属医院放射科

出　　处：《实用放射学杂志》2004年第8期727-729,共3页Journal of Practical Radiology

摘　　要：目的　探讨介入治疗在盆腔各种外伤急救中的临床应用。方法　本组病例男 13例 ,女 3例 ,年龄 17～ 45岁 ,平均 3 1岁。本组病例均有不同程度血压下降 ,肢体脉弱等失血性休克现象。介入术前血压为 ( 5 0～ 10 0 )mmHg/ ( 2 0～ 60 )mmHg( 1mmHg= 0 .13 3kPa) ,急诊选择性行髂内、外动脉和 /或出血动脉栓塞术及动脉闭塞开通术 ,术后注意观察生命体征。结果　髂内动脉主干出血 8例 ,阴部内动脉出血 3例 ,闭孔动脉出血 4例 ,髂外动脉血栓形成 1例 ,本组病例经急诊介入治疗后血压逐步回升平稳 ( 90～12 0 )mmHg/ ( 60～ 90 )mmHg。未出现严重的栓塞并发症。 结论　利用介入治疗手段是救治盆腔外伤导致闭合性血管损伤 ,救治生命的一个快捷。Objective To evaluate the clinical application of interventional therapy in all kinds of pelvic trauma emergency.Methods There were tolally 16 cases in this paper(13 male and 3 female, 17～45 years old with average 31 years old). All patients had blood loose shock ( different blood pressure drop, limb pulse weakness and so on ). The blood pressure was(50～100)mmHg/(20～60) mmHg before interventional therapy,emergency selective external iliac artery, internal iliac artery and/or bleeding artery embolization and artery occlusion broken operation were performed. After operation pay attention to observe the life physical sign.Results Bleeding of internal iliac artery trunk,internal pudendum artery and obturator artery was in 8,3 and 4 cases respectively;1 case had thrombosis in external iliac artery.After emergency interventional treatment, blood pressure rose again progressively and became stability(90～120) mmHg/(60～90) mmHg,no serious complication presented.Conclusion The interventional treatment is the rapid and reasonable selection to cure the pelvic closed vessal injury and to save life.

关 键 词：盆腔 血管损伤 休克 介入放射学 

分 类 号：R681.6[医药卫生—骨科学] R543[医药卫生—外科学]