摘要
目的:研究经血管内栓塞术在骨盆骨折合并大出血急救中的临床应用。方法:回顾性分析18例骨盆骨折大出血患者的致伤因素、伤情程度、伤后至就诊的时间、就诊时的生命体征、创伤评分、就诊至栓塞的时间、盆腔动脉造影、血管内栓塞结果、预后的相关因素。结果:院前失血过多是影响预后的主要因素。结论:紧急盆腔血管造影血管内栓塞止血是骨盆骨折大出血的安全、迅速、有效的急救止血方法。
Objective： To study the origin of heamorrhage and high mortality in severe pelvic fracture. Methods： A retrospective study was carried out on cause and severity of injury, the time from injury to treatment, patient s condition at admission, the time to embolization, the result of pelvic angiogram prognostic factors. Results： Although there were many factors that caused heamorhage, excessive blood losing within a short time before treatment was the main factor. Conclusion ： Urgent embolism is the key in treatment of heamorrhage caused by pelvic fracture.
出处
《岭南急诊医学杂志》
2008年第3期185-186,共2页
Lingnan Journal of Emergency Medicine
关键词
骨盆骨折
出血
动脉造影
血管栓塞
pelvic fracture
heamorrhage
angiograph
embolization
