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| Clinical Value of Transcatheter Angiographic Embolization Combined with External Fixation in the Treatment of Tile C Pelvic Fracture with Hemorrhagic Shock |
| ZHANG Qiang, Ding Tao |
| Department of Orthopaedics, Yan'an People's Hospital, Yan'an Shaanxi, 716000 |
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Abstract 【Objective】 To investigate the clinical value of transcatheter angiographic embolization combined with external fixation in the treatment of Tile C pelvic fracture with hemorrhagic shock. 【Methods】 The clinical data of 102 patients with Tile C pelvic fracture with hemorrhagic shock treated in our hospital from March 2013 to August 2021 were retrospectively analyzed. According to different treatment schemes, they were divided into observation group (n=53) and control group (n=49). The observation group underwent external fixation after transcatheter angiographic embolization, and the control group underwent transcatheter angiographic embolization after external fixation. The mortality during treatment, the amount of norepinephrine used in anti shock treatment, the amount of blood transfusion and the time of shock correction, the level of blood lactic acid before and 4 hours after treatment, the level of serum inflammatory response and oxidative stress response, and the incidence of complications related to embolization and external fixator were compared between the two groups. 【Results】 The mortality of the observation group was lower than that of the control group, and the difference was statistically significant (χ2=4.274, P<0.05); The amount of norepinephrine used in the observation group was less than that in the control group (P<0.05); After treatment, the level of blood lactic acid in the two groups was lower than that before treatment, and the level of blood lactic acid in the observation group was lower than that in the control group (P<0.05); The levels of serum high-sensitivity C-reactive protein (hs-CRP) and superoxide dismutase (SOD) in the two groups were lower than those before treatment (P<0.05). 【Conclusion】 External fixation after transcatheter angiographic embolization in the treatment of Tile C pelvic fracture with hemorrhagic shock is helpful to reduce the mortality, reduce the amount of blood transfusion, shorten the shock correction time and reduce the risk of metabolic acidosis.
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Received: 02 April 2022
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2022, Vol. 39 
