Abstract：
BACKGROUND:Patients with severe pelvic fractures represent about 3% of all skeletal fractures. Hemodynamic compromise in unstable pelvic fractures is associated with arterial hemorrhage in less than 20% of patients. Angiography is an important tool in the management of severe pelvic injury, but indications and timing for its performance remain controversial. METHODS:Patients with major pelvic fractures [Pelvic Abbreviated Injury Score (AIS) >or= 3] admitted to two high volume Trauma Centers from January 2000 to June 2005 were identified and divided into two groups: Group I patients did not undergo angiography, Group II patients underwent angiography with/without embolization. Demographics, hemodynamic status on admission, concomitant injuries, Glasgow Coma Scale (GCS), Injury Severity Score (ISS), pelvic AIS, blood requirement before and after angiography, arterial blood gases and mortality were evaluated. Patients with an additional reason for hemodynamic instability were excluded. RESULTS:Charts of 106 patients were retrospectively reviewed. Twenty nine patients (27.4%) underwent angiography. Bleeding vessel embolization was performed in 20 (18.9%) patients. Patients who underwent angiography had a significantly higher pelvic AIS and a lower Base Excess level on admission. A blood transfusion rate of greater than 0.5 unit/hour was found to be a reliable indicator for early angiography. CONCLUSION:A high pelvic AIS, amount of blood transfusions and decreased BE level should be considered as an indicators for early angiography in patients with severe pelvic injury.
journal_name
Scand J Trauma Resusc Emerg Medauthors
Jeroukhimov I,Ashkenazi I,Kessel B,Gaziants V,Peer A,Altshuler A,Nesterenko V,Alfici R,Halevy Adoi
10.1186/1757-7241-17-62subject
Has Abstractpub_date
2009-11-29 00:00:00pages
62issn
1757-7241pii
1757-7241-17-62journal_volume
17pub_type
杂志文章abstract：BACKGROUND:Trauma is a significant cause of death and impairment. The Abbreviated Injury Scale (AIS) differentiates the severity of trauma and is the basis for different trauma scores and prediction models. While the majority of patients do not survive injuries which are coded with an AIS 6, there are several patients ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2014-03-03 00:00:00
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 社论
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,多中心研究
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更新日期：2018-04-27 00:00:00
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,评审
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,随机对照试验
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更新日期：2012-10-08 00:00:00
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pub_type： 杂志文章,多中心研究
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
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更新日期：2015-10-31 00:00:00
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-17-61
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 社论
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pub_type： 杂志文章
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更新日期：2015-06-03 00:00:00
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
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更新日期：2017-07-17 00:00:00
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-21-67
更新日期：2013-09-10 00:00:00
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-20-36
更新日期：2012-05-25 00:00:00
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-17-26
更新日期：2009-06-03 00:00:00
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
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更新日期：2011-04-20 00:00:00
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,评审
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更新日期：2009-08-23 00:00:00
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
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更新日期：2013-09-14 00:00:00
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journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,评审
doi：10.1186/s13049-018-0518-x
更新日期：2018-06-26 00:00:00
