Application of resuscitative endovascular balloon occlusion of the aorta in emergency treatment of traumatic hemorrhage
10.11855/j.issn.0577-7402.2639.2024.0110
- VernacularTitle:复苏性主动脉球囊阻断术在创伤大出血紧急救治中的应用
- Author:
Hong-Jun YUAN
1
;
Wei HU
;
Feng-Yong LIU
Author Information
1. 解放军总医院第五医学中心介入放射科,北京 100039
- Keywords:
resuscitative endovascular balloon occlusion of the aorta;
massive hemorrhage;
emergency hemostasis
- From:
Medical Journal of Chinese People's Liberation Army
2024;49(8):959-964
- CountryChina
- Language:Chinese
-
Abstract:
Incompressible massive hemorrhage at the junction of trunk and limbs is the major cause of the potential preventable death in modern military conflicts,natural disasters and sudden trauma accidents.Because of the failure of direct compression hemostasis,aortic occlusion can reduce the amount of bleeding and provide a short time for injury recovery and accurate control of bleeding.As an effective assistant hemostasis method,resuscitative endovascular balloon occlusion of the aorta(REBOA)has shown initial potential in military and civilian hospitals and even pre-hospital trauma emergency treatment.With the continuous development of catheter guide technology,it is expected to achieve the emergency hemostasis treatment of war wound and massive hemorrhage.Basic and pre-clinical studies have been carried out in Europe and America,and the technology has been applied to the treatment of some patients with massive bleeding,but rarely reported in China.This paper reviews the history,scope,limitations and improvement of application and military application of REBOA in the treatment of traumatic hemorrhage,so as to promote the recognition of REBOA.
