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介入治疗骨盆骨折伴大出血9例报告
引用本文:陈曙光,张旭鸣,陈良生,杨厚林,李琪,许志贤.介入治疗骨盆骨折伴大出血9例报告[J].福建医药杂志,2008,30(4).
作者姓名:陈曙光  张旭鸣  陈良生  杨厚林  李琪  许志贤
作者单位:1. 福建省立医院急救中心,350001
2. 福建省立医院放射介入科
摘    要:目的 探讨经导管动脉栓塞介入技术在骨盆骨折伴大出血急教中的临床价值.方法 回顾性分析近6年,介入治疗骨盆骨折伴大出血9例,患者经大量输血,补液等保守治疗无效,在入院3~5 h内急诊行髂内动脉分支或主干栓塞术,术后严密观察生命体征的变化.结果 术后24 h内患者血压逐步回升至正常水平,生命征平稳.结论 经导管动脉栓塞介入技术是治疗骨盆骨折引起盆腔大出血的一种安全、迅速、有效的急救方法.

关 键 词:栓塞  治疗性  骨折  骨盆  休克  出血性

Transcatheter artery embolization in haemorrhage due to pelvic fracture of nine cases
Chen Shuguang,Zhang Xuming,Chen Liangsheng,Yang Houlin,Li Qi,Xu Zhixian.Transcatheter artery embolization in haemorrhage due to pelvic fracture of nine cases[J].Fujian Medical Journal,2008,30(4).
Authors:Chen Shuguang  Zhang Xuming  Chen Liangsheng  Yang Houlin  Li Qi  Xu Zhixian
Abstract:Objective To evaluate the value of transcatheter artery embolization(TAE) in the control of hameorrhage due to pelvic fracture.Methods TAE was carried out in nine patients with haemorrhage due to pelvic fracture near six years.All patients transfused blood and liquid to treat the shock,but the treatment was inefficacy.They were embolized illiaca interna after arteriography during three to five hours in hospital.To observe life index carefully after operation.Results The blood pressure of the nine patients increased steady in 24 hours after operation.Conclusions TAE is a safe,rapid and effective method in controlling haemorrhage due to pelvic fracture.
Keywords:Embolization  Therapeutic  Fracture  Pelvic  Shock  Hemorrhagic
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