出血_____骨盆骨折；出血；介入疗法；血管栓塞

床旁介入性血管栓塞抢救骨盆骨折大出血

http://www.100md.com 《创伤外科杂志》 2005年第3期

出血,,骨盆骨折；出血；介入疗法；血管栓塞,1一般资料,2分组与治疗,3统计学处理,参考文献：

     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20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

    Embolization treatment of heamorrhage caused by pelvic fracture in ICU

    QIAN Hebu,ZHENG Zhiqun,LU Junhao，et al.

    (Department of ICU,Wujiang First Hospital,Wujiang 215200,China)

    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 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 injure,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. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/05/08/97/34/57.htm

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