Preperitoneal pelvic packing in patients with hemodynamic instability due to severe pelvic fracture: early experience in a Korean trauma center

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• 作者：Ji Young Jang ; Hongjin Shim ; Pil Young Jung…
• 关键词：Pelvis ; Hemorrhage ; Preperitoneal pelvic packing ; Extraperitoneal pelvic packing ; Damage control
• 刊名：Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：24
• 期：1
• 全文大小：3,039 KB
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• 作者单位：Ji Young Jang (1)
  Hongjin Shim (1)
  Pil Young Jung (1)
  Seongyup Kim (1)
  Keum Seok Bae (1)
  
  1. Trauma Center, Department of Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, 220-701 Ilsan-ro, Wonju-si, Gangwon-do, Republic of Korea
  
• 刊物主题：Emergency Medicine; Traumatic Surgery;
• 出版者：BioMed Central
• ISSN：1757-7241

文摘

Background The mortality rate of patients with hemodynamic instability due to severe pelvic fracture is reported to be 40–60 % despite a multidisciplinary treatment approach. Angioembolization and external fixation of the pelvis are the main procedures used to control bleeding in these patients. Several studies have shown that preperitoneal pelvic packing (PPP) is effective for hemorrhage control, despite being small and observational in nature. The purpose of this study was to describe a Korean trauma center’s early experience with PPP in unstable patients with pelvic fractures and to evaluate its effectiveness.