From 1984 to 1991 20 multiple trauma patients with pelvic fractures and retroperitoneal bleeding from pelvic vessels underwent angiographic localization and embolization of massively bleeding arterial vessels. Nine patients survived (multiple trauma index grade III, Hanover polytrauma index), three patients with very severe injuries died immediately (multiple trauma index grade IV). After successful control of bleeding by embolization, three other patients died from severe brain injuries and five patients from septic multiorgan failure. The interval to definite localization and treatment of the bleeding source was three times shorter in the group of survivors, and the amount of transfusions needed was less by a factor of three. This underlines the importance of early angiography in multiple trauma patients with pelvic fractures and persisting hemorrhage. Embolization has proven to be effective in the treatment of such injuries.
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机译:从 1984 年到 1991 年,20 例多发性创伤患者进行了盆腔骨折和盆腔血管腹膜后出血,并接受了血管造影定位和大量出血动脉血管栓塞术。9 例患者存活(多发性创伤指数 III 级,汉诺威多发性创伤指数),3 例重伤患者立即死亡(多发性创伤指数 IV 级)。在通过栓塞成功控制出血后,另外3名患者死于严重的脑损伤,5名患者死于化脓性多器官衰竭。在幸存者组中,确定出血源定位和治疗的间隔缩短了三倍,所需的输血量减少了三倍。这强调了早期血管造影对多发性创伤患者骨盆骨折和持续出血的重要性。栓塞已被证明可有效治疗此类损伤。
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