床旁介入性血管栓塞抢救骨盆骨折大出血  

Embolization treatment of heamorrhage caused by pelvic fracture in ICU

作　　者：钱何布[1] 郑志群[1] 陆骏灏[1] 沈盛华 

机构地区：[1]吴江市第一人民医院ICU科,江苏吴江215200

出　　处：《创伤外科杂志》2005年第2期98-99,共2页Journal of Traumatic Surgery

摘　　要：目的　探讨在ICU床旁开展介入性血管栓塞抢救骨盆骨折大出血的临床价值。方法　收治 5 2例骨盆骨折并低血容量休克病人 ,其中 2 0例采用传统保守治疗 ,32例于ICU床旁加强监护治疗同时 ,行急诊介入性血管栓塞治疗 ,并将 2组临床资料进行比较。结果　介入性血管栓塞治疗组术后休克很快得到控制 ,伤后 2 4小时补液、输血量、休克纠正时间少于传统保守治疗组 ,病死率明显低于传统保守治疗组。结论床旁介入性血管栓塞抢救骨盆骨折大出血 ,快速安全、简单有效 ,可明显提高抢救成功率。Objective To explore the clinical significance of embolization treatment of heamorrhage caused by pelvic fracture in ICU.Methods Fifty-two patients with severe pelvic fracture were divided into 2 groups,20 cases in group A were treated with traditional treatment and 32 cases in group B with embolization treatment.The clinical date of 2 groups were analyzed.Results The volume of fluid infusion and blood transfusion in 24h after injury,the time for revival from shock and the mortality in group B were significantly decreased.Conclusion Embolization treatment of heamorrhage caused by pelvic fracture in ICU can obviously improve the survival rate.

关 键 词：骨盆骨折 出血 介入疗法 血管栓塞 

分 类 号：R683.3[医药卫生—骨科学]