Ayella R J, DuPriest R W, Khaneja S C, Maekawa K, Soderstrom C A, Rodriguez A, Cowley R A
Surg Gynecol Obstet. 1978 Dec;147(6):849-52.
Extraperitoneal hemorrhage, associated with a fracture of the pelvis, is a major cause of death in pedestrian accidents. Transfusion alone may be unsatisfactory. Direct control of bleeding may be required. Surgically, this may be technically difficult or inadequate. Transcatheter embolization of autologous clot was used to control hemorrhage in three patients with such a fracture. If laparotomy is required immediately, arteriography of the pelvic area may be done postoperatively, If laparotomy is not performed, arteriography may define pelvic bleeding sites. Transcatheter embolization of autologous clot controls hemorrhage from branches of the hypogastric artery.
腹膜外出血与骨盆骨折相关，是行人事故中的主要死亡原因。仅靠输血可能并不理想，可能需要直接控制出血。在手术中，这可能在技术上具有难度或效果不佳。经导管自体血凝块栓塞术被用于控制三名此类骨折患者的出血。如果需要立即进行剖腹手术，可在术后对盆腔区域进行动脉造影；如果不进行剖腹手术，动脉造影可明确盆腔出血部位。经导管自体血凝块栓塞术可控制来自腹下动脉分支的出血。
