如果出血呈持续性,应急诊行外固定用以重塑骨盆的序列和稳定性,限制其容积。
If hemorrhage persists, emergent external fixation is indicated to grossly align and stabilize the pelvis, thus limiting the pelvic volume.
要达到此目的,动脉期和门静脉期成像应选取骨盆可疑出血处。
To achieve this both arterial and portal venous phase imaging should be employed where pelvic bleeding is suspected.
骨盆兜带可作为一个临时治疗措施来协助复位,以防止骨折后出血,并利于复苏。
A pelvic sling may be used as a temporary measure to assist in reduction in order to prevent fracture bleeding and resuscitation.
前后挤压型由于出血致骨盆腔容积增加,不太可能自发填塞。
AP compression injuries cause an increased pelvic volume with any resulting haemorrhage unlikely to tamponade spontaneously.
这同样适用于骨盆腔的静脉和松质骨出血。
坐骨大孔是骨盆血管共同的走行通道,此部位发生骨折出血风险极高。
The greater sciatic foramen is a common exit pathway form any pelvic vessels and any fracture involving this area incurs a higher risk of bleeding.
超声或DPL既不能确认出血源,也不能评估腹膜后隙或骨盆肌肉组织状况,并且X线片仅能证实骨结构情况。
Neither ultrasound or DPL will demonstrate the source of the bleeding, nor can they assess the retroperitoneum or pelvic musculature and the radiograph will demonstrate only the bony anatomy.
目的探讨骨盆骨折合并腹膜后大出血的诊治。
Objective to discuss the treatment of pelvic fractures associated with retroperitoneal hemorrhage.
方法总结2002年以来13例骨盆骨折合并出血性休克病人的临床资料。
Methods The clinical data of 13 cases with pelvic fracture and hemorrhagic shock since 2002 are analysed.
目的探讨骨盆粉碎性骨折伴出血性休克及神经损伤的治疗方法选择。
Objective To discuss the treatment of comminuted fracture of pelvis accompanied by hemorrhagic shock and nerve injuries.
结论排除骨盆动脉中、小口径分支损伤出血,介入性动脉注射巴曲亭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。
Conclusion Exclude middling and small pelvic artery trauma, injecting Baqutting to internal iliac artery can obviously improve the survival rate of hemorrhage due to pelvic fracture.
可识别的骨盆骨折出血源有3种,动脉、静脉和骨折端松质骨出血。
Three sources of bleeding are recognised in pelvic fractures, arterial, venous and bleeding from cancellous bone.
对骨盆进行X线检查的道理在于骨盆骨折常合并出血的高风险。
The rationale for the pelvic radiograph is because of the high risk of bleeding from pelvic fractures.
目的探讨介入栓塞髂内动脉治疗骨盆骨折大出血的可行性。
Objective To investigate the possibility of embolization for treatment of massive haemorrhage from unstable pelvic fractures.
目的探讨介入栓塞髂内动脉治疗骨盆骨折大出血的可行性。
Objective To investigate the possibility of embolization for treatment of massive haemorrhage from unstable pelvic fractures.
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