Ben-Menachem Y
Instr Course Lect. 1988;37:139-41.
Pelvic ring disruption is part of a complex wounding pattern that challenges our ability to diagnose and manage hemorrhage. The conventional methods of diagnosis and control of abdominopelvic bleeding--peritoneal lavage and exploratory laparotomy--should be replaced by exploratory abdominopelvic angiography and transcatheter embolization. Angiography should be performed as soon as possible after the patient is admitted to the emergency room, and shock should not delay transfer of the patient to the angiography suite.
骨盆环损伤是复杂创伤模式的一部分，对我们诊断和控制出血的能力构成挑战。诊断和控制腹盆腔出血的传统方法——腹腔灌洗和剖腹探查术——应由腹盆腔探查性血管造影和经导管栓塞术取代。患者进入急诊室后应尽快进行血管造影，休克不应延误将患者转运至血管造影室。
