【摘要】 目的　了解严重骨盆骨折大出血的来源和高病死率的原因 ,为降低病死率提供理论依据和途径。方法　回顾性分析 12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、就诊时的生命状况、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降低病死率的关键更多还原

【Abstract】 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 key in treatment of heamorrhage caused by pelvic fracture.更多还原