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KMID : 0360720090220020248
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Journal of the Korean Society Traumatology
2009 Volume.22 No. 2 p.248 ~ p.253
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Clinical Profiles of Patients who Undergone Emergency Angiographic Embolization at Emergency Department
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Sun Jong-Hyo
Kim Jeong-Ho
Kim Jin-Joo
Lee Keun
Yang Hyuk-Jun
Kim Jae-Kwang
Cho Jin-Seong
Lim Yong-Su
Hyun Sung-Youl
Jung Ho-Sung
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Abstract
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Purpose: Hemodynamically unstable pelvic fractures represent therapeutic challenges for the trauma team. The authors of this article have studied the clinical profiles of the angiographic intervention population at the emergency department during four years (2005~2009) to develop clinical guidelines for preventing deaths due to multiple trauma and for predicting the prognosis during initial evaluation.
Methods: We performed a retrospective review of 34 patients who had undergone angiographic interventions at the emergency department and compared the differences in clinical variables between survivors and non-survivors.
Results: Representative values were compared between survivors and non-survivors : RTS (revised trauma score) 7.006 (6.376~7.841) vs. 6.128 (4.298~6.494), PRC (packed red cell) units 5.5 (2.0~11.0) vs. 15 (8.0~18.5), and lactate (mmol/L) 3.0 (1.0~7.0) vs. 8.5 (3.5~10.5). RTS (p<0.01) and PRC units before angiographic interventions (p=0.01) and lactate (p=0.02) had correlations to the final outcomes.
Conclusion: The availability of an angiographic suite and persistent hypotension after adequate fluid resuscitation for pelvic trauma are good indications of angiographic intervention for pelvic hemorrhage. (J Korean Soc Traumatol 2009;22:248-53)
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KEYWORD
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Angiographic embolization, Pelvic bone fracture, Trauma
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