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床旁介入性血管栓塞抢救骨盆骨折大出血
引用本文:钱何布,郑志群,陆骏灏,沈盛华. 床旁介入性血管栓塞抢救骨盆骨折大出血[J]. 创伤外科杂志, 2005, 7(2): 98-99
作者姓名:钱何布  郑志群  陆骏灏  沈盛华
作者单位:吴江市第一人民医院ICU科,江苏,吴江,215200;吴江市第一人民医院ICU科,江苏,吴江,215200;吴江市第一人民医院ICU科,江苏,吴江,215200;吴江市第一人民医院ICU科,江苏,吴江,215200
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52例骨盆骨折并低血容量休克病人,其中加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24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。

关 键 词:骨盆骨折  出血  介入疗法  血管栓塞
文章编号:1009-4237(2005)02-0098-02
修稿时间:2004-08-10

Embolization treatment of heamorrhage caused by pelvic fracture in ICU
QIAN He-bu,ZHENG Zhi-qun,LU Jun-hao,et al.. Embolization treatment of heamorrhage caused by pelvic fracture in ICU[J]. Journal of Traumatic Surgery, 2005, 7(2): 98-99
Authors:QIAN He-bu  ZHENG Zhi-qun  LU Jun-hao  et al.
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.
Keywords:pelvic fracture  heamorrhage  interventional therapy  embolization
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