Analysis of risk factors for prognosis of interventional treatment of multiple pelvic fractures with bleeding
10.3969/j.issn.1002-1671.2024.06.027
- VernacularTitle:骨盆多发骨折出血介入治疗预后的危险因素分析
- Author:
Shengpan JIANG
1
;
Shilin ZHENG
;
Xuan LIU
;
Yiqing TAN
Author Information
1. 武汉市第三医院介入医学科,湖北 武汉 430074
- Keywords:
multiple pelvic fractures;
fracture bleeding;
interventional treatment;
prognosis
- From:
Journal of Practical Radiology
2024;40(6):977-980
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors for the prognosis of interventional treatment of multiple pelvic fractures with bleeding.Methods A total of 82 patients with multiple pelvic fractures with bleeding were selected.All patients underwent interventional treatment and were divided into a death group(n=9)and a survival group(n=73)based on their treatment prognosis.The data of the two groups were reviewed and the complications,abbreviated injury scale(AIS),Glasgow prognostic score(GPS),and injury severity score(ISS)between the two groups were compared,and multivariate logistic regression was used to explore the influencing factors of patients prognosis.Results Eighty-two patients with multiple pelvic fractures with bleeding had 9 deaths after interventional treatment,with a mortality rate of 10.98％.The univariate results showed that there were statistical differences in the mortality rate of patients with multiple pelvic fractures with bleeding after interventional treatment,as well as the time to hospital after injury,combined trauma,blood transfusion,and surgical time(P＜0.05).The total incidence of respiratory failure,shock and infection in the death group(44.44％)were higher than those in the survival group(15.07％)(P＜0.05).The AIS,ISS,and acute physiology and chronic health evaluationⅡ(APACHE Ⅱ)in the death group were higher than those in the survival group(P＜0.05);The GPS was lower than that of the survival group(P＜0.05);The multivariate logistic results showed that the time to hospital after injury,combined trauma,blood transfusion,surgical time,complications,AIS,ISS,APACHE Ⅱ and GPS were the influencing factors for the mortality rate of patients with multiple pelvic fractures with bleeding treated with intervention(P＜0.05).Conclusion The proportion of deaths in patients with multiple pelvic fractures with bleeding is often influenced by factors such as complications,time to hospital after injury,combined trauma,AIS,GPS,and ISS.However,early interventional treatment is recommended to improve the patient's treatment prognosis with minimal trauma and good results.
