13例骨盆骨折大出血的急诊介入治疗

Emergency interventional therapy to thirteen patients with massive hemorrhage in pelvic fractures

目的:探讨经导管选择性血管栓塞术治疗不稳定性骨盆骨折所致大出血的临床价值。方法:对13例骨盆骨折所致大出血合并失血性休克的患者进行选择性动脉造影,均发现髂内动脉或其分支出血,并对出血动脉进行栓塞。结果:13例失血性休克患者栓塞成功,手术均在1～2h完成,复查DSA,动脉出血停止,血压稳步上升并保持稳定。结论:急诊经导管选择性栓塞髂内动脉是治疗骨盆骨折所致大出血的首选方法,具有安全、迅速、准确、疗效高的优点。

Objective：To evaluate the clinical value of interventional embolization therapy via internal iliac artery for massive hemorrhage in pelvic fractures.Methods：Angiographies were performed to thirteen patients with massive hemorrhage in pelvic fractures and hemorrhagic shock.All patients were found to occur with hemorrhage in iliac arteries or branches and then sunjected to interventional embolization therapy.Results：Thirteen patients with hemorrhagic shock were succeed in interventional embolization therapy,all the operation were fulfilled within 1～2 h.Thirteen patients were examined with DSA after operation,artery bleeding stopped and their blood pressure tended to stabilize.Conclusion：Emergency interventional iliac artery is the first choice to treat massive hemorrhage in pelvic fractures because it＇s safe,efficient,accurate and best curative effort.