摘要
目的探讨骨盆骨折大出血患者的介入急救方法及临床治疗效果。方法在2013年6月至2016年6月期间本院接收治疗的所有骨盆骨折大出血的患者中随机选出60例纳入本研究,其中30例采用动脉栓塞方法进行治疗,其余30例给予外科常规治疗,分别将其列为观察组与对照组,分析观察组手术前后相关指标的变化,2组患者住院时间、输血量和死亡率。结果在接受我院提供的动脉栓塞急救治疗后,观察组患者的收缩压、心率以及排尿量等指标与入院时相比均得到了很大的改善(P<0.05)。而观察组患者的住院时间与输血量均少于对照组患者,死亡率(3%)也比对照组的(20%)少(P<0.05)。结论针对骨盆骨折大出血患者采用经导管动脉栓塞进行治疗,具有良好的急救治疗效果,能够帮助患者高效快速止血,保障患者生命安全。
Objective To study the patients with pelvic fracture bleeding in first aid methods and clinical therapeutic effect. Methods During June 2013 to June 2016 in our hospital,we randomly selected 60 patients in all patients with pelvic fracture bleeding receiving treatment, 30 patients with arterial embolization treatment, the rest of the 30 cases of surgical routine therapy, as the observation group and the control group respectively. Analyze the change of the observation group of related indicators before and after operation, hospitalization time, amount of blood transfu-sion and mortality in both groups. Results After the artery embolization patients in our hospital were provided first aid treatment, observation group with systolic blood pressure, heart rate and urine output and related indicators had a lot of improvement compared with on admission（P〈0.05）. And the time of hospitalization and the amount of blood transfusion in patients with observation group were less than the control group, the mortality rate of 3% was less than 20% in the control group（P〈0.05）. Conclusion For patients with pelvic fracture bleeding using transcatheter arterial embolization for treatment, has a good effect of emergency treatment, efficient fast hemostasis, can help patients to ensure the safety of patients′ life.
作者
郑翠燕
陈玉珊
Zheng Cuiyan;Chen Yushan(Department of Radiological Intervention, Zhangzhou Hospital Affiliated to Fujian Medical University,Fujian 363000, Chin)
出处
《实用医学影像杂志》
2018年第2期129-131,共3页
Journal of Practical Medical Imaging
关键词
髋骨折
出血
急救
Hip fractures
Hemorrhage
First aid
