Application of angiographic gelfoam sponge embolization agents in 20 patients with massive hemorrhage following pelvic fracture
- VernacularTitle:血管造影栓塞明胶海绵栓塞剂在骨盆骨折大出血中应用20例
- Author:
Cong WANG
;
Jie ZHAO
;
Hao XU
- Publication Type:Journal Article
- From:
Chinese Journal of Tissue Engineering Research
2007;0(49):-
- CountryChina
- Language:Chinese
-
Abstract:
A total of 20 patients with massive hemorrhage for pelvic fracture, underwent angiographic embolization with gelfoam sponge embolization agents in 3-8 hours after admitted at the Department of Orthopedics, Changhai Affiliated Hospital of Second Military Medical University of Chinese PLA between January 2001 and August 2003 were selected. The patients aged ranged from 18-70 years (mean 43.4-year-old), including 12 male and 8 female. Conduits were inserted into the internal iliac artery embranchment of 8 cases with method of ultraselection, and gelfoam sponge grain and contrast medium were injected together. Conduits combined with gelfoam sponge grain and contrast medium were inserted into 12 cases’ pathic internal iliac artery bole. The whole 20 cases were performed endovascular embolization, and blood pressures turned to normal level after operation gradually without serious complications of embolization. One case died of deterioration after blood pressure stabilization. The result reveals that anglo-graphic embolization with gelfoam sponge embolization agents is a safe, quick and effective method of controlling the severe hemorrhage caused by pelvic fracture.