【摘要】 目的　探讨骨盆骨折合并腹膜后大出血的诊治。方法　救治方法除常规输血补液外 ,主要是采用经导管动脉栓塞术(TranscatheterArterialEmbolizationTAE) ,抢救成功后采用切开复位内固定术治疗骨盆骨折。结果　在 30例中仅 2例死亡。经动脉栓塞及切开复位内固定治疗 ,随访半年～ 5年 ,90 %以上的患者恢复原工作。结论　对于合并大出血休克的病人 ,在常规抗休克治疗的同时 ,采用经导管动脉栓塞术是安全有效的治疗方法更多还原

【Abstract】 Objective To discuss the treatment of pelvic fractures associated with retroperitoneal hemorrhage.Methods Besides routine fluid infusion and blood transfusion,the critical management was transcatheter arterial embolization(TAE).Then pelvic fractures were treated by open reduction and internal fixation.Results Of these cases,only 2 cases died of hemorrhage and shock.The other patiens had a follow up from half year to 5 years.Through the treatment of arterial embolization and open reduction and internal fixation,more than 90% patients returned to work.Conclusion To the pelvic fractures associated with retroperitoneal hemorrhage,transcatheter arterial embolization is very effective and safe method.更多还原