Merlini M, Besson A, Livio J J
Schweiz Med Wochenschr. 1980 Nov 1;110(44):1611-3.
Between 1975 and 1979 282 patients were treated for fractures of the pelvis at the Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. Sixty-eight had severe fractures with two or more ruptures of the pelvis. Twelve of these patients also had vascular complications, viz. severe retroperitoneal hematoma, and rupture of the hypogastric artery or of the iliac vein. The histories, including the associated injuries, of these 68 patients were followed up from admission to hospital to discharge. The mortality was 11% for severe fractures of the pelvis and 33% in cases with vascular complications. The relative importance of diagnostic peritoneal lavage, angiography and surgery is stressed. Vascular embolization as an alternative treatment in the case of rupture of the hypogastric artery or branches is also discussed.
1975年至1979年间，瑞士洛桑沃州大学中心医院收治了282例骨盆骨折患者。其中68例为严重骨折，骨盆有两处或多处断裂。这些患者中有12例还出现了血管并发症，即严重的腹膜后血肿、腹下动脉或髂静脉破裂。对这68例患者从入院到出院的病史进行了随访，包括相关损伤情况。骨盆严重骨折患者的死亡率为11%，出现血管并发症的患者死亡率为33%。文中强调了诊断性腹腔灌洗、血管造影和手术的相对重要性。还讨论了在腹下动脉或其分支破裂时，血管栓塞作为一种替代治疗方法的情况。
