在计算机断层扫描上,静脉相扩张是临界/严重的骨盆损伤中的红旗标志
Hong Kyung Shin1, Chami Im1,2, Hye Rim Shin1
1Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.
患有骨盆骨折和血管损伤的患者面临高风险. 骨盆创伤患者的静脉扩张导致结果更差,包括输血增加和死亡率,与动脉扩张相比.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 紧急医疗 紧急医疗
背景情况:
- 管理带有骨盆骨折的血液动力不稳定患者是复杂的,特别是在同时发生血管损伤的情况下.
- 血管损伤显著恶化了盆腔创伤患者的预后.
- 腹前骨盆包装是骨盆创伤的关键干预措施.
研究的目的:
- 评估患有骨盆创伤和血管损伤的患者的治疗结果.
- 为了评估血管损伤对患者预后的影响,在前腹膜骨盆包装被广泛采用之前.
主要方法:
- 对195名患有骨盆损伤的患者的医疗记录进行了回顾性审查.
- 从2003年5月到2013年8月收集的数据.
- 血管损伤和没有血管损伤的患者之间的结局的比较,以及血管损伤类型的亚组分析.
主要成果:
- 34名患者患有血管损伤;161人患有非血管损伤.
- 血管损伤组的输血率显着更高 (82.4%对11.8%),PRBC单位更大 (5.2±5.5对0.4±1.4).
- 与动脉扩张相比,静脉扩张与更高的输血需求,心脏骤停 (80%与10.3%) 和死亡率 (60%与10.3%) 相关联.
结论:
- 骨盆创伤中的静脉相扩张与增加的输血需求有关.
- 心脏骤停的发病率和死亡率在静脉扩张患者中明显较高.
- 孤立的静脉扩张显示出明显高于孤立的动脉扩张的死亡率.
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