介入治疗骨盆骨折大出血(附44例报告)  被引量:32

The Interventional Therapy for Treatment of Massive Haemorrhage from Pelvic Fracture (Report of 44 Cases)

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作  者:张英泽[1] 宋朝晖[1] 潘进社[1] 彭阿钦[1] 韩长玲[1] 

机构地区:[1]河北医科大学第三医院创伤急救中心,石家庄市050051

出  处:《骨与关节损伤杂志》2003年第7期441-443,共3页The Journal of Bone and Joint Injury

摘  要:目的 探讨介入栓塞髂内动脉治疗骨盆骨折大出血的可行性。方法 对44例骨盆骨折大出血合并失血性休克的患者进行动脉造影,发现41例髂内动脉或其分支出血,并对出血动脉进行了栓塞。结果 41例髂内动脉栓塞中39例成功,2例栓塞成功后血压又下降,终因失血性休克而死亡。结论 介入栓塞出血血管是治疗骨盆骨折大出血行之有效的措施,具有快速、准确、干扰小的优点。Objective To investigate the possibility of embolization for treatment of massive haemorrhage from unstable pelvic fractures. Methods In a series of 44 patients with uncontrolled hypotension, angiography was performed. The haemorrhage of internal iliac artery branches were identified in 41 patients and embolization was performed. Results Embolization was succeed in 39 cases, 2 patients died after embolizatiuon. Conclusion The best treatment for massive haemorrhage of pelvic fractures is embolization. The advantages of embolization lie in easy operation, rapidness, nicety and minor trauma.

关 键 词:介入治疗 骨盆骨折 大出血 可行性 动脉造影 

分 类 号:R683.3[医药卫生—骨科学]

 

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