Laplace C, Martin L, Rangheard A-S, Menu Y, Duranteau J
Département d'anesthésie-réanimation chirurgicale, CHU de Bicêtre, assistance publique-hôpitaux de Paris, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.
Ann Fr Anesth Reanim. 2004 Oct;23(10):998-1002. doi: 10.1016/j.annfar.2004.07.010.
Initial reports of pneumatic anti-shock garment (PASG) in severely hypotensive patients appeared promising. Nevertheless, large-scale studies in prehospital settings have shown no overall reduction in mortality rates among hypotensive patients with application of the PASG. However, in a subsample of patients with blood pressure < or =50 mmHg, PASG seems to be useful to reduce bleeding and improve survival. To our knowledge, our case report is the first which directly showns on angiography the hemostatic effect of PASG on pelvic trauma bleeding. In spite of its possible complications, PASG remains one of the tools of trained trauma teams who regularly treated severe haemorrhagic shock.
关于气动抗休克衣（PASG）用于严重低血压患者的初步报告似乎很有前景。然而，院前环境中的大规模研究表明，应用PASG的低血压患者死亡率并未整体降低。然而，在血压≤50mmHg的患者亚组中，PASG似乎有助于减少出血并提高生存率。据我们所知，我们的病例报告是第一份在血管造影上直接显示PASG对骨盆创伤出血止血效果的报告。尽管PASG可能有并发症，但它仍然是受过训练的创伤团队定期治疗严重失血性休克的工具之一。
