Pelvic compartment syndrome caused by retroperitoneal hematoma of pelvic fracture  

作　　者：ZHANGFeng-qi ZHANGYing-ze PANJin-she PENGA-qin WANGHui-juan 

机构地区：[1]OrthopaedicCenterforTraumaticEmergencyTreatment,ThirdHospital,HebeiMedicalUniversity,Shijiazhuang050051,China [2]DepartmentofHistologyandEmbryology,HebeiMedicalUniversity,Shijiazhuang050017,China

出　　处：《Chinese Medical Journal》2005年第10期877-878,共2页中华医学杂志（英文版）

摘　　要：Retroperitoneal hematoma is an obligatory complication in pelvic ring fracture.~1 In most cases, the bleeding originates from venous vessels of the presacral plexus, small arteries and veins from fracture fragments. External fixation of the pelvis can control blood loss by reducing diastasis and dramatically decreasing the volume of the pelvis. But this tamponade effect can not prevent the presence of hematoma in the adjoining retroperitoneal space. It is well known that complication of retroperitoneal hematoma is infection and sepsis.Retroperitoneal hematoma is an obligatory complication in pelvic ring fracture.~1 In most cases, the bleeding originates from venous vessels of the presacral plexus, small arteries and veins from fracture fragments. External fixation of the pelvis can control blood loss by reducing diastasis and dramatically decreasing the volume of the pelvis. But this tamponade effect can not prevent the presence of hematoma in the adjoining retroperitoneal space. It is well known that complication of retroperitoneal hematoma is infection and sepsis.

关 键 词：pelvis · hip fractures · retroperitoneal space · hematoma · compartment syndromes 

分 类 号：R683.3[医药卫生—骨科学] R572.2[医药卫生—外科学]