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| 骨盆骨折大出血的急诊动脉栓塞治疗 | |
| 引用本文： | 胡章明,姚宜斌,汪国祥,鲁厚清. 骨盆骨折大出血的急诊动脉栓塞治疗[J]. 生物医学工程与临床, 2009, 13(5): 413-417. DOI: 10.3969/j.issn.1009-7090.2009.05.010 |
| 作者姓名： | 胡章明 姚宜斌 汪国祥 鲁厚清 |
| 作者单位： | 1. 铜陵市人民医院,放射科，安徽,铜陵,244000 2. 芜湖市弋矶山医院放射科,安徽,芜湖,241000 3. 铜陵市人民医院,急诊内外科,安徽,铜陵,244000 |
| 摘 要： | 目的探讨急诊应用动脉栓塞术治疗骨盆骨折大出血的临床疗效及方法。方法15例骨盆骨折大出血患者,其中男性9例,女性6例;年龄15-59岁,平均年龄36岁。接诊时处于失血性休克状态,3例由急诊科直接送导管室,12例保守治疗2.0-12.0h,血压不稳定或持续下降而行急诊动脉栓塞术,选择性或超选择性髂内动脉或分支栓塞。栓塞剂取明胶海绵。结果15例栓塞全部成功,立刻止血,血压上升或稳定。结论急诊应用髂内动脉栓塞术治疗骨盆骨折大出血,是一种行之有效、立竿见影的急救止血手段。 |
| 关 键 词： | 急诊 骨盆骨折 出血 栓塞 介入放射学 |
Emergency arterial embolization in massive hemorrhage with pelvic fracture |
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| HU Zhang-ming,YAO Yi-bin,WANG Guo-xiang,LU Hou-qing. Emergency arterial embolization in massive hemorrhage with pelvic fracture[J]. Biomedical Engineering and Clinical Medicine, 2009, 13(5): 413-417. DOI: 10.3969/j.issn.1009-7090.2009.05.010 | |
| Authors: | HU Zhang-ming YAO Yi-bin WANG Guo-xiang LU Hou-qing |
| Affiliation: | 1.a.Department of Radiology;b.Department of Emergency;Tong Ling People's Hospital;Tongling 244000;Anhui;China;2.Department of Radiology;Yijishan Hospital;Wuhu 241000;China |
| Abstract: | Objective To evaluate therapeutics effect of emergency arterial embolization treatment for massive hemorrhage of pelvic fracture.Methods A total of 15 cases with massive hemorrhage of pelvic fracture were all occurred hemorrhagic shock,male 9,female 6,aged 15-59 years,mean 36 years.Three cases were directly sent to catheter department from the department of emergency,12 cases were found instability or continual desending of blood pressure after 2.0-12.0 hours of conservative therapy and sent to catheter dep... |
| Keywords: | emergency pelvic fracture hemorrhage embolization interventional radiology |
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