Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Clinical Profiles of Patients who Undergone Emergency Angiographic Embolization at Emergency Department

혈관 색전술을 시행한 외상 환자에 대한 임상적 고찰

  • Sun, Jong Hyo (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Kim, Jae Kwang (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Lim, Yong Su (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Kim, Jin Joo (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Jo, Jin Sung (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Hyun, Sung Youl (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Jeong, Ho Sung (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Yang, Hyuk Jun (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Lee, Gun (Department of Emergency Medicine, Gachon University Gil Hospital) ;
  • Kim, Jeong Ho (Department of Radiology, Gachon University Gil Hospital)
  • 선종효 (가천의과학대학교 길병원 응급의학과) ;
  • 김재광 (가천의과학대학교 길병원 응급의학과) ;
  • 임용수 (가천의과학대학교 길병원 응급의학과) ;
  • 김진주 (가천의과학대학교 길병원 응급의학과) ;
  • 조진성 (가천의과학대학교 길병원 응급의학과) ;
  • 현성열 (가천의과학대학교 길병원 응급의학과) ;
  • 정호성 (가천의과학대학교 길병원 응급의학과) ;
  • 양혁준 (가천의과학대학교 길병원 응급의학과) ;
  • 이근 (가천의과학대학교 길병원 응급의학과) ;
  • 김정호 (가천의과학대학교 길병원 영상의학과)
  • Received : 2009.10.19
  • Accepted : 2009.12.05
  • Published : 2009.12.30
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Abstract

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.

Keywords

References

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