对骨盆骨折出血控制前腹膜包装适度的临床评估
Preksha Rani1, Richa Yadav2, Shailly Gupta1
1Trauma Surgery & Critical Care, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
Journal of clinical orthopaedics and trauma
|October 17, 2024
概括
在骨盆骨折患者的腹膜后包装 (PPP) 有效地将腹腔切除术放在出血部位附近. 这种接近有助于在创伤患者中实现吸管和控制出血.
科学领域:
- 创伤外科 手术 创伤外科
- 放射学 放射学是一门学科.
- 人体解剖学 解剖学 解剖学
背景情况:
- 骨盆骨折与显著的出血有关.
- 腹膜后包装 (PPP) 是一种用于控制这些患者出血的技术.
- 对包装放置的客观评估对于有效性至关重要.
研究的目的:
- 在骨盆骨折患者中客观地评估腹腔切除与PPP后潜在的出血部位的距离.
- 评估PPP在关键骨盆血管附近实现吸管的有效性.
主要方法:
- 分析了19名经过PPP的骨盆骨折患者的计算机断层扫描 (CT) 扫描.
- 测量以确定腹腔切除和关键的盆腔解剖标志之间的距离.
- 具体重点是距离神经关节的距离,常见的,外部的和内部的阴道动脉,以及阴道分叉.
主要成果:
- 记录了包到点的中位距离:神经关节 (2.7厘米),常见门动脉 (4.1厘米),外部门动脉 (0厘米),内部门动脉 (0.1厘米) 和门分叉 (2.0厘米).
- 在60%的测量中观察到腹腔切除和门动脉之间的直接接触.
- 这些发现表明,包装与主要的骨盆血管非常接近.
结论:
- 适当执行PPP可以使腹腔切除包与潜在的出血部位相距较近.
- 这种近距离有利于坦波纳德效应在骨盆骨折患者停止出血.
- 在严重的盆腔创伤中,PPP是一种有效的血液控制策略.
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