Bruining H A, Eeftinck Schattenkerk M, De Vries J E, Van Urk H, Obertop H
Neth J Surg. 1980;32(3):102-7.
The experience and results of treatment with external counterpressure for uncontrollable bleeding in 11 patients with compound pelvic fractures and 7 other patients with various subdiaphragmatic bleeding sites are reported. In 11 cases (61%) the bleeding could be arrested with medical anti-shock trousers (MAST). 9 patients died: 5 due to hemorrhagic shock and 4 of related disorders. Treatment with MAST was unsuccessful in 7 cases of major arterial tears. In patients with compound pelvic fractures the acute blood loss may necessitate further treatment by either arterial embolization, an operation for concomitant traumata, or both. Complications of the use of MAST were minor. The (clinical) use of this garment can therefore be strongly advised in patients with otherwise intractable bleeding.
报告了对11例复合性骨盆骨折患者及另外7例不同膈下出血部位患者采用体外反压治疗难以控制出血的经验和结果。11例患者（61%）使用抗休克裤（MAST）可止住出血。9例患者死亡：5例死于失血性休克，4例死于相关疾病。7例主要动脉撕裂患者使用MAST治疗未成功。对于复合性骨盆骨折患者，急性失血可能需要进一步采用动脉栓塞、针对并发创伤的手术或两者兼用的治疗方法。使用MAST的并发症较轻微。因此，强烈建议对其他方法难以控制出血的患者使用这种装置（进行临床治疗）。
