床旁介入性血管栓塞术救治重度骨盆骨折患者  

The effect of interventional vas embolism operation at bedside in patients with severe pelvis fracture

作　　者：郑志群[1] 杜文革 钱何布[1] 陆骏灏[1] 沈盛华 

机构地区：[1]吴江市第一人民医院ICU,江苏省吴江215200

出　　处：《中华急诊医学杂志》2006年第3期260-262,共3页Chinese Journal of Emergency Medicine

基　　金：苏州市社会发展科研基金资助项目(WS200314)

摘　　要：目的探讨ICU病区采用床旁介入性血管栓塞术救治骨盆骨折合并失血性休克的临床价值。方法对48例重度骨盆骨折合并失血性休克患者,在加强监护治疗的同时施行床旁介入性血管栓塞术。与传统保守治疗进行临床比较。结果床旁介入组46例患者在术后1h内出血得到控制,成功率95.8%。从输血量、并发症发生率和病死率均明显低于保守治疗组。结论ICU病区施行床旁介入性血管栓塞术是救治骨盆骨折合并髂血管损伤的安全场所,实用性强,疗效可靠。Objective To evaluate the effect of interventional vas embolism operation at ICU bedside in severe pelvis fracture patients complicated with hemorrhagic shock. Method Forty-eight severe pelvis fracture patients with hemorrhagic shock were treated by interventional vas embolism operation at bedside as well as intensive monitoring. The clinical results were compared with those of the traditional conservative therapy group. Results In the interventional therapy group, 46 patients with hemorrhage had been controlled within an hour after the operation and the success ratio reached 95.8 %. The blood transfusion volume, the complication incidence and mortality rate were all significantly lower than those of the conservative therapy group. Conclusion Interventional vas embolism operation at ICU bedside is a safe, practical and effective treatment on pelvis fracture with iliae vas trauma.

关 键 词：重度骨盆骨折 失血性休克 介入性血管栓塞术 床边 

分 类 号：R683.3[医药卫生—骨科学]