Yellin A E, Lundell C J, Finck E J
Arch Surg. 1983 Dec;118(12):1378-83. doi: 10.1001/archsurg.1983.01390120008004.
Fourteen patients with posttraumatic pelvic hemorrhage underwent therapeutic transcatheter embolization of bleeding vessels. Six of them were victims of blunt trauma, six had penetrating trauma, and two had iatrogenic hemorrhage. Eleven patients had a celiotomy prior to angiographic embolization, and large retroperitoneal hematomas were evident in nine patients. Bleeding persisted postoperatively. It was initially controlled by embolization in all patients, but two rebled and were successfully reembolized. Two patients died because of traumatic injuries. There were no complications directly associated with the embolization procedures. Transcatheter embolization is a safe, effective method for controlling pelvic hemorrhage in patients with unstable or multiple pelvic fractures whose conditions fail to respond to more conventional forms of therapy.
14例创伤后盆腔出血患者接受了出血血管的治疗性经导管栓塞术。其中6例为钝性创伤受害者，6例为穿透性创伤，2例为医源性出血。11例患者在血管造影栓塞术前接受了剖腹术，9例患者可见巨大腹膜后血肿。术后出血持续存在。最初所有患者均通过栓塞控制了出血，但2例再次出血并成功再次栓塞。2例患者因创伤性损伤死亡。没有与栓塞程序直接相关的并发症。对于病情对更传统治疗方式无反应的不稳定或多发性骨盆骨折患者，经导管栓塞术是控制盆腔出血的一种安全、有效的方法。
