Temporary occlusion of blood flow with intravascular tourniquet for treatment of traumatic neck and adjacent trunk artery hemorrhage
10.3760/cma.j.issn.1001-8050.2012.06.015
- VernacularTitle:“血管内止血带”临时阻断血流辅助手术治疗外伤性颈部及邻近躯干部位动脉损伤出血
- Author:
Daohua HE
;
Lianting MA
;
Xinyuan ZHANG
;
Ming YANG
;
Zhuanghong CHEN
;
Li PAN
;
Bo DIAO
;
Lei FENG
;
Guang FENG
- Publication Type:Journal Article
- Keywords:
Arteries;
Wounds and injuries;
Internal tourniquet
- From:
Chinese Journal of Trauma
2012;28(6):537-541
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the feasibility and clinical significance of internal tourniquet (temporary arterial lumen blood flow occlusion by balloon catheter) for controlling the hemorrhage from traumatic neck and adjacent trunk arteries by temporarily occluding the arterial lumen blood flow.Methods The study involved 35 patients with traumatic neck and near trunk arteries who were firstly managed by internal tourniquet during operation to temporarily occlude the proximal aorta blood flow from May 1987 to February 2009.Each blocking time ranged from 30 to 70 minutes and the blocking was performed at an interval of 15 to 20 minutes.Then,surgical therapy was taken.Results After temporary proximal aorta blood flow occlusion with internal tourniquet,the operation presented few bleeding,with a clean operating field and clear anatomic structures.The total intraoperative blood loss was 100-400 ml.All patients were healed without ischemia of brains and limbs or relapse during the 3-14 years of followup.Conclusion Internal tourniquet,which can effectively reduce intraoperative blood loss and improve operation safety by temporarily occluding the proximal aorta blood flow,is an auxiliary approach for treating hemorrhage from traumatic neck and adjacent trunk arteries.
