Polytraumatism and solid organ bleeding syndrome: The role of imaging

Thony, F.; Rodière, M.; Frandon, Julien; Vendrell, A.; Jankowski, A.; Ghelfi, Julien; Sengel, Christian; Arvieux, C.; Bouzat, Pierre; Ferretti, G.

doi:10.1016/j.diii.2015.06.004

Cited by 12 publications

(2 citation statements)

References 17 publications

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“… 3 (3) Emergent intervention for embolization within vessels can well control active bleeding in multiple injury patients with less complications and high rescuing rate; during operation, attention should be given to select the appropriate size catheter so as to avoid too large injection pressure and thus increase bleeding. 9 Operation should be gently performed to avoid aggravating vascular endothelial thrombosis. (4) EICU help monitor critically ill patients during the perioperative period, and early finding and treating complications can reduce postoperative mortality and morbidity, and improve the success rate of multiple critical injury.…”

Section: Discussionmentioning

confidence: 99%

Interventional treatment experience in multiple injury with major abdominal or pelvic injuries: 160 cases analysis

Zhang

Han

et al. 2018

Chinese Journal of Traumatology

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PurposeTo observe the therapeutic effect of interventional embolization and haemorrhage control in multiple trauma patients with a major abdominal or pelvic injury.MethodsData of 160 multiple trauma patients with a major abdominal or pelvic injury were retrospectively analyzed. They were admitted into the Department of Emergency of the First Affiliated Hospital of Zunyi Medical College from October 2013 to April 2016. Eighty-seven patients who received emergent intervention for embolization and haemorrhage control were set as group A, including 72 males and 15 females, with an average age of (39.32 ± 14.0) years. Patients underwent emergent intervention for embolization and hemostasis. The other 73 patients who received traditional surgeries were set as group B, including 62 males and 11 females, with an average age of (38.48 ± 13.12) years. The time from admission to emergency intervention, the time of interventional embolization, transfusion during hospitalization, length of stay and prognosis were observed. The whole treatment and prognosis were compared between group A and group B.ResultsIn group A, the average time from admission to intervention exploration was (132.05 ± 86.80) min, the average operation time was (149 ± 49.69) min, the average hospitalization time was (18.37 ± 4.71) days, the average amount of RBC transfusion during hospitalization was (7.2 ± 4.33) units, and the mortality was 4.60% (4 patients died). The corresponding data in group B were respectively (138.95 ± 82.49) min, (183 ± 52.39) min, (22.72 ± 6.63) days, (12.23 ± 5.43) units, and 9.59% (7 cases died). There was no statistical difference in the time from admission to operation between the two groups (p > 0.05), but there was statistical difference in operation time, RBC transfusion, hospitalization time, prognosis, and mortality between the two groups (all p < 0.05).ConclusionThe emergent intervention for embolization and haemorrhage control of multiple trauma patients with a major abdominal or pelvic injury and visceral organ haemorrhage has the advantages of less trauma, shorter operation time, shorter hospital stay, less blood transfusion in comparison to the traditional emergency surgeries.

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Section: Discussionmentioning

confidence: 99%

Interventional treatment experience in multiple injury with major abdominal or pelvic injuries: 160 cases analysis

Zhang

Han

et al. 2018

Chinese Journal of Traumatology

View full text Add to dashboard Cite

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“…Spesifik, direkt bulgular, pankreasta boyut artışı, laserasyon (fokal lineer kontrast tutmayan alan), inhomojen kontrast tutulumu, fragmantasyon ve hematom olarak görülebilir. İndirekt, nonspesifik bulgular, peripankreatik yağ planlarında silinme, laserasyonla ilişkili peripankreatik sıvı, splenik ven ve pankreas arasında sıvı, hemoraji, sol anterior pararenal fasiyada kalınlaşma, komşu yapılarda eşlik eden yaralanmalar olarak sayılabilir [1,4,[18][19][20][21][22].…”

Section: Pankreas Yaralanmalarıunclassified