相关实验视频
Updated: Jun 9, 2026

08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
11.5K
一项回顾性观察性研究,评估盆腔创伤栓塞后的死亡率
Warren Clements1,2,3, Talulla Dunne1,4, Steven Clare1
1Department of Radiology, Alfred Health, Melbourne, Victoria, Australia.
Journal of medical imaging and radiation oncology
|January 31, 2024
概括
盆腔创伤栓塞显示30天死亡率较低. 在骨盆创伤中早期干预动脉出血与改善生存率无关,尽管它仍然是关键的管理原则.
科学领域:
- 创伤学 创伤学 创伤学
- 干预性放射学 干预性放射学
- 紧急医疗 紧急医疗
背景情况:
- 骨盆环创伤可能导致严重出血,动脉损伤发生在高达10%的病例中.
- 在没有有效的管理的情况下,动脉盆腔创伤的死亡率可能高达89%.
- 栓塞是控制骨盆外伤患者动脉出血的关键干预措施.
研究的目的:
- 为了评估30天所有原因的死亡率后的盆腔创伤栓塞.
- 为了确定从损伤到栓塞的时间是否会影响患者的死亡率.
主要方法:
- 从2009年1月到2022年6月,在一个单一的三级创伤中心进行了一项回顾性研究.
- 包括经过盆腔创伤栓塞的成年患者,不包括经过血管造影但没有栓塞的患者.
- 分析了147名患者的数据.
主要成果:
- 30天全因死亡率为11.6% (17名患者).
- 从受伤到栓塞的中位时间为6.3小时.
- 增加年龄和损伤严重性得分与较高的死亡率有关,而非选择性栓塞与较低的死亡率有关. 栓塞的时间与死亡率没有显著关联.
结论:
- 盆腔创伤栓塞与低30天死亡率有关.
- 早期的栓塞没有发现与改善的死亡率结果有显著的关联.
- 尽管有发现,尽量减少盆腔创伤出血干预的时间仍然是核心管理原则.
相关概念视频
Pulmonary Embolism I: Introduction
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Pulmonary Embolism III: Nursing Management
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...

