McAvoy J M, Cook J H
Arch Surg. 1978 Aug;113(8):986-90. doi: 10.1001/archsurg.1978.01370200080015.
Exsanguinating retroperitoneal hemorrhage secondary to pelvic fractures is a frequent cause of death in the injured pedestrian. Attempts at lowering the mortality from these injuries have led to a variety of suggested treatment modalities, including observation, arterial ligation, or direct suturing of the bleeding sites. Arteriographic embolization is perhaps the newest modality but requires implementation of a rapid and efficient triage and treatment plan. Each of the suggested modalities and the formulation of such a treatment plan are discussed and a case report showing the feasibility of immediate arteriographic embolization as the preferred mode of management is presented.
骨盆骨折继发的腹膜后大出血是受伤行人死亡的常见原因。为降低这些损伤的死亡率，人们尝试了多种建议的治疗方式，包括观察、动脉结扎或直接缝合出血部位。动脉造影栓塞术可能是最新的治疗方式，但需要实施快速有效的分诊和治疗计划。本文讨论了每种建议的治疗方式以及此类治疗计划的制定，并给出了一个病例报告，展示了立即进行动脉造影栓塞术作为首选治疗方式的可行性。
