Miller Ramie
AORN J. 2018 Jul;108(1):13-22. doi: 10.1002/aorn.12272.
Pelvic fractures are traumatic injuries that can be caused by motor vehicle accidents, motorcycle accidents, motor vehicle-related pedestrian injuries, or falls from a significant height. These injuries can be life threatening because of the high vascularity of the pelvis and the difficulty in being able to see bleeding occurring in this area. Traditional approaches to treat pelvic fractures have been pelvic binding, external fixation, and open preperitoneal packing; however, the use of angiography and embolization enables faster pinpointing of the location of the bleeding. Increased use of hybrid ORs for treating traumatic pelvic fractures combines the superior imaging of interventional radiology with an OR that can quickly provide open interventions without needing to move a patient from an interventional radiology suite to another OR. This improvement in technology has combined the resources and knowledge of more diverse disciplines to provide a more centralized approach to improving patient outcomes.
骨盆骨折是一种创伤性损伤,可能由机动车事故、摩托车事故、与机动车相关的行人损伤或从高处坠落引起。由于骨盆血管丰富且难以看到该区域发生的出血情况,这些损伤可能危及生命。治疗骨盆骨折的传统方法包括骨盆捆绑、外固定和开放腹膜前填塞;然而,血管造影和栓塞的应用能够更快地确定出血位置。越来越多地使用杂交手术室来治疗创伤性骨盆骨折,将介入放射学的卓越成像与一个无需将患者从介入放射学套房转移到另一个手术室就能快速提供开放干预的手术室相结合。技术上的这一进步整合了更多不同学科的资源和知识,以提供一种更集中的方法来改善患者的治疗效果。