Management of traumatic massive abdominopelvic hemorrhage: key challenges and refined strategies
10.3760/cma.j.cn501098-20250418-00233
- VernacularTitle:创伤性腹盆腔大出血救治的关键问题与优化策略
- Author:
Hongya GUAN
1
;
Hongkai LIAN
1
Author Information
1. 郑州大学附属郑州中心医院创伤中心，河南省创伤医学中心，郑州市创伤研究医学重点实验室，郑州 450007
- Publication Type:Journal Article
- Keywords:
Hemorrhage;
Abdominal injuries;
Pelvis;
Endovascular procedures
- From:
Chinese Journal of Trauma
2025;41(10):946-951
- CountryChina
- Language:Chinese
-
Abstract:
Traumatic massive abdominopelvic hemorrhage presents significant clinical challenges due to its complex anatomy, deep-seated and predominantly non-compressible bleeding sites, difficulties in early recognition, and rapid disease progression. Patients are often complicated with shock and coagulopathy, making timely intervention extremely critical. Despite continuous advances in treatment techniques for trauma, clinical practice still faces significant challenges, including insensitive early warning systems, limited assessment means, suboptimal selection and timing of hemostatic interventions, insufficient multidisciplinary team (MDT) collaboration, and imperfect hemostasis strategy based on anatomical stratification. Focusing on the treatment chain of "early warning-assessment-hemostasis-support", the authors reviewed key challenges in managing massive abdominopelvic hemorrhage including the establishment of early warning criteria, standardization and intelligentization of focused assessment with sonography for trauma (FAST), standardized application of (REBOA), optimization of MDT collaborative mechanisms, and integration of anatomy-based hemostatic strategies, and proposed optimization pathways, aiming to improve the success rate in managing traumatic massive abdominopelvic hemorrhage.
