Chiu Y, Wong T C, Yeung S H
Department of Orthopaedics and Traumatology, Pamela Youde Nethersole Eastern Hospital, Hong Kong.
J Orthop Surg (Hong Kong). 2009 Apr;17(1):100-2. doi: 10.1177/230949900901700122.
We report 2 patients with haemodynamic instability secondary to minimally displaced pubic rami fractures following a fall. Both complained of pain and swelling in the abdomen and groin, and had abdominal distension and bruising in the abdomen, groin, and perineum. All these may be early signs of severe vascular injury and should be treated promptly. Both patients were treated with embolisation of the injured vessels using emergency angiography.
我们报告2例因跌倒导致耻骨支轻微移位骨折继发血流动力学不稳定的患者。两人均主诉腹部和腹股沟疼痛、肿胀,且腹部、腹股沟和会阴有腹胀及瘀斑。所有这些可能都是严重血管损伤的早期迹象,应及时治疗。两名患者均通过紧急血管造影对受伤血管进行了栓塞治疗。