病例报告闭合性腹部外伤骨盆骨折连同髂动脉损伤-SAGEJournals.PDF

Hong Kong Journal of Emergency Medicine Iliac arterial inj ury associated w ith pelvic fracture in blunt abdominal trauma: a case report KC Ip and KB Lee Exsanguination accounts for up to 65% mortality of traumatic patients with known pelvic fracture. Majority of the haemorrhage is caused by bleeding from venous plexuses and fractured cancellous bone. A rterial bleeding only accounts about 15% of the haemorrhage and primarily from branches of iliac arteries. Injury to iliac arteries with bleeding or thrombosis is uncommon and difficult to diagnose. It is a devastating condition associated with significant consequences including limb loss or even mortality without prompt diagnosis and management. The diagnosis can only be made with high index of suspicion and repeated careful examination. In this report, we describe the management of a case of pelvic fracture with multiple concomitant injures including common iliac artery occlusion that was successfully managed with a femoro- femoral bypass. (Hong Kong j .emerg.med. 20 14;2 1:329-333) 65% 15% Keywords: Arterial occlusion disease, iliac artery, pelvic bones injuries, stents, vascular injury Introduction bleeding from venous plexuses, fractured cancellous bone and only about 15% from arterial bleeding from Ex sanguinating haemorrhage accounts up to 65% small arteries.2,3 However, injury to iliac arteries with mortality of traumatic patients with known pelv ic bleeding or thrombosis is uncommon and difficult to fracture .1 Most pelv ic haemorrhage are caused by diagnose. It is a devastat