髂内动脉注射巴曲亭对骨盆骨折的止血作用  

Hemostasia Effect of Injecting Baqutting to Internal Iliac Artery for Pelvic Fracture

作　　者：王良馥[1] 陈自力[1] 黄强[1] 毛洪涛[1] 李修江[1] 

机构地区：[1]解放军第九四医院急诊ICU,南昌330002

出　　处：《中国现代手术学杂志》2006年第3期218-220,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨髂内动脉注射巴曲亭抢救骨盆骨折大出血的临床疗效。方法76例骨盆骨折并低血容量休克病人,随机分为2组:观察组39例,采用经髂内动脉导管注射巴曲亭治疗;对照组37例,采用静脉注射止血敏。比较两组临床疗效。结果观察组术后血压平稳上升,术后24h输血量平均为1773.6±492.5ml,输液量平均为3485.0±647.6,休克纠正时间平均为4.3±1.1h,死亡率为7.7%,对照组分别为2758.4±337.4ml,5041.9±892.1ml,10.8±2.4h和51.4%,两组比较差异显著(P<0.05)。结论排除骨盆动脉中、小口径分支损伤出血,介入性动脉注射巴曲亭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 injecting Baqutting to internal iliae artery for treatment of hemorrhage due to pelvic fracture. Methods Seventy-six patients with severe pelvic fracture were divided into 2 groups. 39 cases of study group with injecting Baqutting to internal iliac artery and 37 cases of control group were treated with traditional treatment. The therapeutic effect was compared between two groups. Results The average volume of blood transfusion within 24 hours, fluid infusion within 24 hours, the mean duration for revival from shock and the mortality in study group were 1 773.6 ± 492.5 ml, 3 485.0 ± 647.6, 4.3±1.1 h and 7.7% respectively,was less than that of control group（2 758.4 ±337.4 ml, 5 041.9 ±892.1 ml, 10, 8 ± 2.4 h ,51.4% respectively ,P 〈0.05 ）. Conclusion Exclude middling and small pelvic artery trauma, injecting Baqutting to internal iliae artery can obviously improve the survival rate of hemorrhage due to pelvic fracture.

关 键 词：骨盆骨折 出血 巴曲酶 注射 动脉内 

分 类 号：R683.3[医药卫生—骨科学]