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

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Purpose:To observe the therapeutic effect of interventional embolization and haemorrhage control in multiple trauma patients with a major abdominal or pelvic injury.Methods:Data 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 72males 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.Results:In 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).Conclusion:The 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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