Tianjin University Tianjin Hospital, Tianjin, China.
Medical School of Tianjin University, Tianjin, China.
Shock. 2024 Nov 1;62(5):612-619. doi: 10.1097/SHK.0000000000002444. Epub 2024 Aug 6.
Pelvic fractures are severe traumatic injuries often accompanied by potentially fatal massive bleeding. Rapid control of hemorrhages in prehospital emergency settings is critical for improving outcomes in traumatic bleeding. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is a promising technique for controlling active bleeding from pelvic fractures. By inserting a balloon catheter into the aorta, REBOA helps maintain blood flow to vital organs such as the brain and heart. This paper provides a comprehensive overview of the initial management of noncompressive trunk hemorrhage caused by pelvic fractures, introduces the technical principles and developments of REBOA, and explores its extensive application in prehospital emergency care. It delves into the operational details and outlines strategies for effectively managing potential complications. We aim to offer a theoretical framework for the future utilization of REBOA in managing uncontrollable hemorrhage associated with pelvic fractures in prehospital emergencies.
骨盆骨折是严重的创伤性损伤，常伴有潜在致命的大出血。在院前急救环境中快速控制出血对于改善创伤性出血的预后至关重要。主动脉球囊阻断复苏术（REBOA）是控制骨盆骨折活动性出血的一种有前途的技术。通过将球囊导管插入主动脉，REBOA有助于维持大脑和心脏等重要器官的血液流动。本文全面概述了骨盆骨折引起的非压迫性躯干出血的初步处理，介绍了 REBOA 的技术原理和进展，并探讨了其在院前急救中的广泛应用。本文深入探讨了操作细节，并概述了有效管理潜在并发症的策略。我们旨在为未来在院前急救中处理与骨盆骨折相关的不可控制出血时使用 REBOA 提供理论框架。
