经桡动脉入路动脉栓塞术治疗骨盆骨折伴失血性休克的初步观察  

作　　者：戴简吉 胡晓钢[1] 金红来[1] 

机构地区：[1]浙江省金华市中心医院,321000

出　　处：《浙江临床医学》2020年第10期1466-1467,共2页Zhejiang Clinical Medical Journal

摘　　要：目的初步观察经桡动脉入路动脉栓塞术在治疗骨盆骨折伴失血性休克的价值。方法回顾性分析2018年1月至2019年10月间9例因骨盆骨折伴失血性休克急诊行经桡动脉入路动脉栓塞术的患者资料。结果9例患者均成功经桡动脉入路进行了动脉栓塞术,术后失血性休克情况均得到有效控制,手术成功率100%,手术时间35~115min,平均(80±27)min;9例患者术中均未出现桡动脉及上肢动脉痉挛、损伤等并发症,术后穿刺点无再次出血,穿刺侧无手指及手部皮肤、肌肉坏死,无手部神经损伤症状。结论经桡动脉入路动脉栓塞术治疗骨盆骨折伴失血性休克是安全可行的,并且在术前准备、穿刺的方便程度、术后穿刺点的管理中均较股动脉入路有一定的优势。Objective To initially analyze the value of transradial approach internal iliac artery embolization in the treatment of pelvic fractures with hemorthagic shock.Methods The data of patients undergoing internal radial iliac artery embolization via radial approach for emergency pelvic fractures with pelvic fracture and hemorrhagic shock from January 2018 to October 2019 were tetrospectively analyzed.Results All 9 patients sessfully underwent arterial embolization through the radial artery approach.Postoperative hemorrhagic shock was ffectively controlled.The technical success rate was 100%,the operation time was 35~115min,and the average was(80±27)min.No radial spasm and upper limb arterial spasm and injury occurred during the operation in 9 patients.Postoperative puncture points No rebleeding,no finger and hand skin and muscle necrosis on the puncture side,no symptoms of hand nerve damage.Conclusion T ransradial approach arterial embolization is safe and feasible for pelvic fractures with hemorrhagic shock,and it has certain advantages over the femoral artery approach in preoperative preparation,the convenience of puncture,and the management of postoperative puncture points.

关 键 词：骨盆骨折 介入放射学 栓塞 髂内动脉栓塞术 经桡动脉途径 

分 类 号：R47[医药卫生—护理学]