动脉栓塞术在创伤失血性休克中的应用

Application of arterial embolization in traumatic hemorrhagic shock

目的探讨动脉栓塞术在创伤失血性休克中的应用。方法回顾性分析2013年9月-2014年8月选择我院收治的创伤失血性休克患者83例,其中38例患者采用动脉栓塞术为栓塞组,45例患者采用保守治疗为对照组。观察两组患者输血量、输液量及休克纠正时间,并对预后情况进行比较,观察两组患者的死亡率。结果栓塞组患者的输血量、输液量及休克纠正时间明显低于对照组,两组比较差异有统计学意义（P〈0.05）。栓塞组患者的死亡率为2.63%,明显低于对照组的6.67%,两组比较差异有统计学意义（P〈0.05）。结论对创伤失血性休克患者采用动脉栓塞术进行治疗,可挽救患者生命,提高存活率,值得临床推广应用。

Objective To study the application of arterial embolization in traumatic hemorrhagic shock. Methods 83 patients with traumatic hemorrhagic shock, who were received and treated in our hospital from September 2013 to August 2014,were retrospectively analyzed,thereinto,38 cases were treated with arterial embolization as embolization group,and 45 cases were treated with conservative therapy as control group.To observe the volume of blood transfusion,the transfusion quantities,and the correct time of shock of the two groups,and to compare the prognosis condition,to observe the mortality rate of the two groups. Results The volume of blood transfusion,the transfusion quantities,and the correct time of shock in embolization group were lower than which in control group,the differences were statically significant（P〈0.05）.The mortality rate in embolization group 2.63% was obviously lower than which in control group 6.67%,the differences were statically significant（P〈0.05）. Conclusion Arterial embolization in the treatment of patients with traumatic hemorrhagic shock,could salvage patients＇ life,improve survival rate,is worthy of clinical popularization and application.