严重骨盆骨折大出血治疗进展  

Treatment advance of severe pelvic fractures with massive hemorrhage

作　　者：韦功滨(综述) 罗小辑(审校)[1] WEI Gongbin;LUO Xiaoji(Department of Orthopedics,First Affiliated Hospital of Chongqing Medical University,Chongqing 40016,China)

机构地区：[1]重庆医科大学附属第一医院骨科,400016

出　　处：《重庆医学》2021年第9期1609-1612,1620,共5页Chongqing medicine

基　　金：国家自然科学基金项目(81873998)。

摘　　要：严重骨盆骨折患者早期容易出现大出血、消耗性凝血病及其他部位合并损伤,后期容易出现各种并发症,导致病死率、致残率居高不下。近年来外固定支架、兜带固定、造影栓塞、腹膜外盆腔填塞及主动脉球囊阻断技术取得了长足的进步,多学科协同规范治疗已成为处理严重骨盆骨折的共识。本文对近年来国内外严重骨盆骨折大出血治疗的进展进行综述。The patients with severe pelvic fractures usually suffer from massive hemorrhage,consumption coagulopathy and other sites combined injuries in the early stage,and various complications easily occur in the late stage,which results in high mortality and disability rate.In recent years,the great progress has been made in the techniques of external fixator,pelvic girdle,angiographic embolization,extraperitoneal pelvic packing and aortic balloon occlusion.The multidisciplinary cooperation standardized treatment has become a consensus in treating severe pelvic fractures.This article reviews the progress in the treatment of severe pelvic fracture hemorrhage in recent years.

关 键 词：骨盆骨折 消耗性凝血病 外固定 造影栓塞 盆腔填塞 复苏性主动脉球囊阻断 

分 类 号：R683.3[医药卫生—骨科学]