【摘要】 目的探讨经导管动脉栓塞急诊治疗骨盆骨折所致盆腔大出血的临床价值。资料与方法15例骨盆骨折合并盆腔大出血患者,经抗休克、止血等内科保守治疗无效,在外伤后2~5h行急诊血管造影,根据造影结果,选用明胶海绵颗粒或细条、不锈钢圈栓塞髂内动脉或出血动脉分支。结果除1例在造影过程中死亡而未行栓塞外,其余14例均在1h内完成栓塞治疗,成功率93.3%(14/15),栓塞后活动性出血停止,失血性休克得到纠正,有效率达100%(14/14),其中12例经康复治疗后出院,2例因发生弥漫性血管内凝血(DIC)或合并颅脑损伤而死亡。未出现严重的栓塞后并发症。结论经导管动脉栓塞是急诊治疗骨盆骨折所致盆腔大出血的一种安全、有效、简便的方法。更多还原

【Abstract】 Objective To discuss the clinical value of transcatheter arterial embolization for urgent treatment of severe hemorrhage caused by pelvic fracture.Materials and Methods 15 cases with severe hemorrhage due to pelvic fracture who had been failed of conservative therapy, were accepted angiography and embolization in 2-5 hours after trauma. The internal iliac arteries and other target arteries were embolized with glutine sponge or steel coils.Results Except for 1 case died in the course of angiography, the other 14 cases were successfully accepted embolization, the successful rate was 93.3% (14/15). Bleeding was controlled immediately after embolization, the effective rate was 100%(14/14), 12 cases were cured, and 2 cases were died of DIC or brain trauma. No serious complications occurred.Conclusion Transcatheter arterial embolization is a more effective, safe and easy method of controlling the severe hemorrhage caused by pelvic fracture.更多还原