J Korean Hip Soc 2008; 20(2): 117-123
Published online June 1, 2008
© The Korean Hip Society
윤형구∙김만득*∙한수홍∙김병국∙안태근
포천 중문 의과대학교 분당 차병원 정형외과학교실, 영상의학교실*
Correspondence to : 김병국
경상북도 구미시 형곡동 855 중문의대 구미차병원 정형외과학교실
TEL: 82-54-450-9700
FAX: 82-54-450-5098
E-mail: saos@unitel.co.kr
* 본 논문의 요지는 2007년도 대한고관절학회 춘계학술대회에서 발표되었음.
Purpose: To assess the effectiveness and appropriate time for arterial embolization with angiography in patients who sustained a hemodynamically unstable pelvic bone fracture Materials and methods: Nineteen cases with hemodynamically unstable pelvic bone fractures that were managed with arterial embolization out of 287 pelvic bone fractures between May, 2002 and February, 2007 were reviewed retrospectively. The blood pressure, pulse rate, hemoglobin, prothrombin time, partial prothrombin time and platelet checked were evaluated immediately after arrival at the emergency room, before and after embolization. Repeated measures analysis of variance was used for the statistical evaluation.
Results: The blood pressure showed a statistically significant increase from before and after embolization. The hemoglobin and prothrombin time checked upon arrival were significantly lower than those checked before embolization. In addition, the hemoglobin and prothrombin time was significantly higher before embolization than after embolization. The partial thromboplastin time and platelet checked immediately upon arrival were significantly lower than those checked before embolization.
Conclusion: Interventional angiography and embolization can be an effective treatment modality in patients with hemodynamically unstable pelvic bone fractures showing rapid changes in the hemoglobin level, prothrombin time, partial thromboplastin time and platelet count but little response to fluid and transfusion resuscitation,.
Keywords Pelvic bone fracture, Arteraial embolization, Blood pressure, Hemoglobin, Prothrombin time, Partial thromboplastin time, Platelet
J Korean Hip Soc 2008; 20(2): 117-123
Published online June 1, 2008 https://doi.org/10.5371/jkhs.2008.20.2.117
Copyright © The Korean Hip Society.
윤형구∙김만득*∙한수홍∙김병국∙안태근
포천 중문 의과대학교 분당 차병원 정형외과학교실, 영상의학교실*
Hyung-Ku Yoon, M.D., Man-Deuk Kim, M.D.*, Soo-Hong Han, M.D., Byung-Kuk Kim, Tae-Keun Ahn, M.D.
Department of Orthopaedic Surgery, Radiology*, Bundang CHA Hospital, College of Medicne, Pochon CHA University, Seongnam-si, Korea
Correspondence to:김병국
경상북도 구미시 형곡동 855 중문의대 구미차병원 정형외과학교실
TEL: 82-54-450-9700
FAX: 82-54-450-5098
E-mail: saos@unitel.co.kr
* 본 논문의 요지는 2007년도 대한고관절학회 춘계학술대회에서 발표되었음.
Purpose: To assess the effectiveness and appropriate time for arterial embolization with angiography in patients who sustained a hemodynamically unstable pelvic bone fracture Materials and methods: Nineteen cases with hemodynamically unstable pelvic bone fractures that were managed with arterial embolization out of 287 pelvic bone fractures between May, 2002 and February, 2007 were reviewed retrospectively. The blood pressure, pulse rate, hemoglobin, prothrombin time, partial prothrombin time and platelet checked were evaluated immediately after arrival at the emergency room, before and after embolization. Repeated measures analysis of variance was used for the statistical evaluation.
Results: The blood pressure showed a statistically significant increase from before and after embolization. The hemoglobin and prothrombin time checked upon arrival were significantly lower than those checked before embolization. In addition, the hemoglobin and prothrombin time was significantly higher before embolization than after embolization. The partial thromboplastin time and platelet checked immediately upon arrival were significantly lower than those checked before embolization.
Conclusion: Interventional angiography and embolization can be an effective treatment modality in patients with hemodynamically unstable pelvic bone fractures showing rapid changes in the hemoglobin level, prothrombin time, partial thromboplastin time and platelet count but little response to fluid and transfusion resuscitation,.
Keywords: Pelvic bone fracture, Arteraial embolization, Blood pressure, Hemoglobin, Prothrombin time, Partial thromboplastin time, Platelet
Nam Hoon Moon, MD, Jae Hoon Jang, MD, Won Chul Shin, MD, PhD, Seok Jin Jung, MD
Hip Pelvis 2020; 32(4): 182-191