骨盆骨折大出血骨盆填塞与血管造影栓塞的临床急救进展  

Progress in pelvic packing and angiographic embolization for clinical emergency treatment of hemorrhea after pelvic fracture

作　　者：王琦[1] 周东生[1] 于震 李琳[1] Wang Qi;Zhou Dongsheng;Yu Zhen;Li Lin(Department of Orthopaedic Trauma,Shandong Provincial Hospital Affiliated to Shandong University,Jinan 250021,China)

机构地区：[1]山东大学附属省立医院创伤骨科,济南250021

出　　处：《中华创伤骨科杂志》2020年第6期501-506,共6页Chinese Journal of Orthopaedic Trauma

摘　　要：高能量创伤所致的骨盆骨折大出血常造成患者血流动力学不稳定,是骨盆骨折患者死亡的首位原因。迅速、有效地控制骨盆骨折患者大出血仍是临床治疗的难点,尚缺乏公认的临床诊疗规范。随着骨盆填塞和血管造影栓塞等治疗方法的不断发展,骨盆骨折大出血患者的生存率有所提高,但其病死率仍徘徊在30%~50%。本文就骨盆骨折大出血的骨盆填塞和血管造影栓塞的临床急救进展作一综述,以期为临床医生面对骨盆骨折大出血时选择止血方法提供一定借鉴。High-energy trauma-induced pelvic fractures often cause hemodynamic instability which is the first cause of death in their victims.Rapid and effective control of massive bleeding in patients with pelvic fracture is still a clinical challenge for which there have been no well-accepted standards for clinical diagnosis and treatment.Although the development of pelvic packing and angiographic embolization has raised the survival rate for patients undergoing massive hemorrhage after pelvic fracture,their martality rate still fluctuates between 30%and 50%.This review introduces the recent advances made in pelvic packing and angiographic embolization used in clinical emergency treatment of massive hemorrhage following pelvic fracture,hoping to provide useful knowledge for clinicians who may handle this condition.

关 键 词：骨盆 骨折 出血 止血 手术 栓塞 治疗性 

分 类 号：R687.3[医药卫生—骨科学]