Schwemmle K, Schultheis K H
Unfallchirurgie. 1985 Feb;11(1):7-11. doi: 10.1007/BF02587921.
During the years of 1969 to 1982, 361 patients with blunt abdominal trauma were treated at the General Surgical Hospital of the University of Giessen. 46 out of these patients (12,7%) had also a fracture of the pelvis. The mortality was high with 43,5% (20 patients), however, all these patients had multiple injuries. In most cases hemorrhagic complications were responsible for death. Peritoneal lavage is an important diagnostic measure. In case of injuries to inner organs, generally several organs are concerned. Therapeutic methods should be time-sparing because of the great risks involved in these injuries. Retroperitoneal hemorrhages allow only seldom a vessel reconstruction. Angiographic localization with subsequent vessel embolization should be tried.
1969年至1982年间，吉森大学普通外科医院收治了361例腹部钝性创伤患者。其中46例（12.7%）同时伴有骨盆骨折。死亡率高达43.5%（20例患者），然而，所有这些患者均为多发伤。多数情况下，出血性并发症是导致死亡的原因。腹腔灌洗是一项重要的诊断措施。内脏损伤时，通常涉及多个器官。由于这些损伤风险极大，治疗方法应节省时间。腹膜后出血很少能进行血管重建。应尝试进行血管造影定位并随后进行血管栓塞。
