골반골 골절에서 손상 제어 개복술 후 지속적인 출혈의 치료: 동맥 색전술 -증례보고-

Treatment of Ongoing Bleeding after a Damage Control Laparotomy for a Pelvic Bone Fracture: Arterial Embolization -A Case Report-

  • 김기훈 (인제대학교 의과대학 해운대 백병원 외과학교실) ;
  • 경규혁 (인제대학교 의과대학 해운대 백병원 외과학교실) ;
  • 김진수 (인제대학교 의과대학 해운대 백병원 외과학교실) ;
  • 박성진 (인제대학교 의과대학 해운대 백병원 외과학교실) ;
  • 남소현 (인제대학교 의과대학 해운대 백병원 외과학교실) ;
  • 김운원 (인제대학교 의과대학 해운대 백병원 외과학교실) ;
  • 김용한 (인제대학교 의과대학 해운대 백병원 마취통증의학교실)
  • Kim, Ki-Hoon (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Kyung, Kyu-Hyouk (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Kim, Jin-Su (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Park, Sung-Jin (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Nam, So-Hyun (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Kim, Woon-Won (Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital) ;
  • Kim, Yong-Han (Department of Anesthesiology, University of Inje College of Medicine, Haeundae Paik Hospital)
  • 투고 : 2011.06.23
  • 심사 : 2011.10.04
  • 발행 : 2011.12.31

초록

Massive bleeding due to traumatic pelvic bone fracture is a leading cause of death. Thus, several methods to control bleeding have been attempted, but none of these has yet been clearly established. After an automobile accident, a 34-year-old motorist was admitted to the Emergency Department for right hip,leg and abdominal pain. Because the patient's pressure remained consistently low and pelvic bone fracture and abdominal bleeding were found on radiologic examination, an explorative laparotomy was performed. After pelvic packing and bleeding control, bleeding still continued, so Angiography was performed, and arterial embolization for bleeding was performed.

키워드

참고문헌

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