Khanna Pavan, Phan Ho, Hardy Andrew Hal, Nolan Timothy, Dong Paul
Department of Radiology.
Semin Intervent Radiol. 2012 Sep;29(3):187-91. doi: 10.1055/s-0032-1326927.
Pelvic fractures account for ∼3% of all fractures and usually occur in patients with polytrauma. Pelvic fractures usually indicate high energy transfer and a significant mechanism of injury, and they can involve massive hemorrhage. For this reason, mortality from pelvic trauma is high, ranging from 40% to 60% among patients in shock, and up to 90% in patients considered to be in extremis. Multidisciplinary approaches in the treatment of patients with pelvic fractures have resulted in improved outcomes for these complex and challenging injuries. In this article, we describe a case of a pediatric patient who suffered severe pelvic fracture with massive hemorrhage, requiring a multidisciplinary approach for control of hemorrhage and definitive repair of injuries.
骨盆骨折约占所有骨折的3%，通常发生在多发伤患者中。骨盆骨折通常提示高能量传递和显著的损伤机制，并且可能伴有大量出血。因此，骨盆创伤的死亡率很高，休克患者的死亡率在40%至60%之间，处于濒死状态的患者死亡率高达90%。多学科方法治疗骨盆骨折患者已使这些复杂且具有挑战性的损伤的治疗效果得到改善。在本文中，我们描述了一例患有严重骨盆骨折并伴有大量出血的儿科患者，该患者需要多学科方法来控制出血并对损伤进行确定性修复。
