严重骨盆骨折介入栓塞术后弹簧圈移位:病例报告。

IF 1.4 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Journal of International Medical Research Pub Date : 2024-07-01 DOI:10.1177/03000605241266219
Lijun Cao, Guoping Shen, Renyan Wu, Xuning Shen, Jun Xu, Hui Sun, Xianhua Xiang
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引用次数: 0

摘要

失血性休克是严重创伤后骨盆骨折的并发症,是一种危险的状态。在骨盆骨折后血管损伤患者的治疗中,介入性血管内止血技术的应用起着举足轻重的作用。本文报告了一名因严重工伤车祸导致骨盆骨折的患者的治疗情况。尽管及时输血输液抗休克、应用主动脉球囊阻塞和介入性髂动脉栓塞止血,但患者的病情仍未出现明显好转。复查血管造影进一步发现介入栓塞材料移位,患者随后死于多器官衰竭。弹簧圈移位的情况并不常见,但其后果却很严重,因此在为这类患者选择止血材料时必须仔细斟酌。本文对该特殊病例的诊断和治疗过程进行了分析和讨论,旨在提高类似情况下患者治疗方法的有效性和成功率。
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Spring coil displacement after interventional embolization of severe pelvic fracture: a case report.

Haemorrhagic shock, which arises as a complication of pelvic fracture subsequent to severe trauma, represents a perilous state. The utilization of interventional endovascular haemostasis assumes a pivotal role in the management of patients with vascular injury following pelvic fracture. This article reports the treatment of a patient with pelvic fracture caused by a serious work-related vehicle accident. Despite the implementation of timely blood and fluid transfusion to combat shock, the application of aortic balloon obstruction, and interventional iliac artery embolization for haemostasis, the patient's condition failed to display any discernible improvement. Repeat angiography further revealed a displacement of the interventional embolization material, and the patient subsequently died of multiple organ failure. The occurrence of spring coil displacement is infrequent, but the consequences thereof are considered grave, necessitating meticulous discernment in the selection of haemostatic materials for this type of patient. The diagnostic and therapeutic processes encompassing the particular case described here were analysed and are discussed with the objective of augmenting the efficacy and success rate of treatment modalities for patients in similar circumstances.

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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
555
审稿时长
1 months
期刊介绍: _Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis. As a service to authors, every article accepted by peer review will be given a full technical edit to make papers as accessible and readable to the international medical community as rapidly as possible. Once the technical edit queries have been answered to the satisfaction of the journal, the paper will be published and made available freely to everyone under a creative commons licence. Symposium proceedings, summaries of presentations or collections of medical, pre-clinical or clinical data on a specific topic are welcome for publication as supplements. Print ISSN: 0300-0605
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