对一名伴有难治性出血和血流动力学不稳定的骨盆骨折患者进行选择性血管栓塞术。
Selective angioembolization in a pelvic fracture patient with refractory bleeding and hemodynamic instability.
作者信息
Aoki Makoto, Tokue Hiroyuki, Yajima Hisao, Isshiki Yuta, Sawada Yusuke, Fukushima Kazunori, Aramaki Yuto, Oshima Kiyohiro
机构信息
Department of Emergency Medicine, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
Department of Diagnostic and Interventional Radiology, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
出版信息
Radiol Case Rep. 2020 Mar 24;15(5):624-627. doi: 10.1016/j.radcr.2020.02.035. eCollection 2020 May.
Angioembolization for hemodynamically unstable patients with pelvic fracture has become the standard of care. However, the selection and extent of contrast of the distal artery in such patients remains undetermined. In this case, an octogenarian man was hit by a truck and was hemodynamically unstable with pelvic fracture. Based on enhanced computed tomography, selective angiography visualized arterial extravasation and the arterial bleeding could be arrested. This approach may be required for the treatment of patients in this setting.
对于血流动力学不稳定的骨盆骨折患者，血管栓塞术已成为标准治疗方法。然而，此类患者远端动脉造影剂的选择和范围仍未确定。在本病例中，一名八旬男性被卡车撞击，因骨盆骨折导致血流动力学不稳定。基于增强计算机断层扫描，选择性血管造影显示了动脉外渗，动脉出血得以止住。对于这种情况下的患者治疗可能需要采用这种方法。
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