钝性创伤伴臀上动脉破裂而无骨盆骨折时的严重低血压。

Profound hypotension in blunt trauma associated with superior gluteal artery rupture without pelvic fracture.

作者信息

Belley G, Gallix B P, Derossis A M, Mulder D S, Brown R A

机构信息

Department of Diagnostic Radiology, Montreal General Hospital, McGill University, Quebec, Canada.

出版信息

J Trauma. 1997 Oct;43(4):703-5. doi: 10.1097/00005373-199710000-00026.

DOI:10.1097/00005373-199710000-00026

PMID:9356074

Abstract

Superior gluteal artery injury is a rare but well-known complication of abdominal trauma, usually in association with pelvic fractures. Embolization has become the most effective treatment for pelvic hemorrhage with regard to superior gluteal artery injury, due to difficult surgical access. We report an unusual case of a superior gluteal artery rupture without pelvic fracture. The patient presented with profound hypotension after blunt trauma. Angiography revealed an injured superior gluteal artery, which was successfully embolized.

摘要

臀上动脉损伤是腹部创伤中一种罕见但广为人知的并发症，通常与骨盆骨折有关。由于手术入路困难，栓塞已成为治疗臀上动脉损伤所致骨盆出血最有效的方法。我们报告一例罕见的无骨盆骨折的臀上动脉破裂病例。该患者在钝性创伤后出现严重低血压。血管造影显示臀上动脉损伤，随后成功进行了栓塞治疗。