动脉栓塞术在创伤失血性休克中应用.docVIP

动脉栓塞术在创伤失血性休克中应用 　　[摘要] 目的 探讨动脉栓塞术在创伤失血性休克中的应用。 方法 回顾性分析2013年9月～2014年8月选择我院收治的创伤失血性休克患者83例，其中38例患者采用动脉栓塞术为栓塞组，45例患者采用保守治疗为对照组。观察两组患者输血量、输液量及休克纠正时间，并对预后情况进行比较，观察两组患者的死亡率。 结果 栓塞组患者的输血量、输液量及休克纠正时间明显低于对照组，两组比较差异有统计学意义（P0.05）。栓塞组患者的死亡率为2.63%，明显低于对照组的6.67%，两组比较差异有统计学意义（P0.05）。 结论 对创伤失血性休克患者采用动脉栓塞术进行治疗，可挽救患者生命，提高存活率，值得临床推广应用。 　　[关键词] 动脉栓塞术；创伤失血性休克；病例对照；出血 　　[中图分类号] R713；R719 [文献标识码] B [文章编号] 2095-0616（2016）01-226-03 　　[Abstract] Objective To study the application of arterial embolization in traumatic hemorrhagic shock. Methods 83 patients with traumatic hemorrhagic shock， who were received and treated in our hospital from September 2013 to August 2014，were retrospectively analyzed，thereinto，38 cases were treated with arterial embolization as embolization group，and 45 cases were treated with conservative therapy as control group.To observe the volume of blood transfusion，the transfusion quantities，and the correct time of shock of the two groups，and to compare the prognosis condition，to observe the mortality rate of the two groups. Results The volume of blood transfusion，the transfusion quantities，and the correct time of shock in embolization group were lower than which in control group，the differences were statically significant（P0.05）.The mortality rate in embolization group 2.63% was obviously lower than which in control group 6.67%，the differences were statically significant（P0.05）. Conclusion Arterial embolization in the treatment of patients with traumatic hemorrhagic shock，could salvage patients life，improve survival rate，is worthy of clinical popularization and application. 　　[Key words] Arterial embolization；Traumatic hemorrhagic shock；Case-control；Hemorrhage 　　创伤失血性休克为临床上常见的急症，骨折、脾破裂、四肢多发性损伤及上消化道出血等会导致腹、盆部动脉及其分支损伤引起大出血，从而导致失血性休克的发生[1-2]。对此类患者必须及时抢救，发现出血点及时止血，否则易出现失血性休克，危及患者生命。临床医生在治疗时，因血管损伤破裂位置深，不能很好地显露，单纯手术止血困难、风险也较大[3-4]。本研究对2013年9月～2014年8月我院在创伤失血性休克患者中采用动脉栓塞术进行治疗的效果进行分析，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　回顾性分析2013年9月～2014年8月选择我院收治的创伤失血性休克患者83例，其中男56例，女27例，年