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床旁介入性血管栓塞抢救骨盆骨折大出血
Embolization treatment of heamorrhage caused by pelvic fracture in ICU
【摘要】 目的 探讨在ICU床旁开展介入性血管栓塞抢救骨盆骨折大出血的临床价值。方法 收治 5 2例骨盆骨折并低血容量休克病人 ,其中 2 0例采用传统保守治疗 ,32例于ICU床旁加强监护治疗同时 ,行急诊介入性血管栓塞治疗 ,并将 2组临床资料进行比较。结果 介入性血管栓塞治疗组术后休克很快得到控制 ,伤后 2 4小时补液、输血量、休克纠正时间少于传统保守治疗组 ,病死率明显低于传统保守治疗组。结论床旁介入性血管栓塞抢救骨盆骨折大出血 ,快速安全、简单有效 ,可明显提高抢救成功率。
【Abstract】 Objective To explore the clinical significance of embolization treatment of heamorrhage caused by pelvic fracture in ICU.Methods Fifty-two patients with severe pelvic fracture were divided into 2 groups,20 cases in group A were treated with traditional treatment and 32 cases in group B with embolization treatment.The clinical date of 2 groups were analyzed.Results The volume of fluid infusion and blood transfusion in 24h after injury,the time for revival from shock and the mortality in group B were significantly decreased.Conclusion Embolization treatment of heamorrhage caused by pelvic fracture in ICU can obviously improve the survival rate.
【Key words】 pelvic fracture; heamorrhage; interventional therapy; embolization;
- 【文献出处】 创伤外科杂志 ,Journal of Traumatic Surgery , 编辑部邮箱 ,2005年02期
- 【分类号】R683.3
- 【被引频次】9
- 【下载频次】78