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선종효 ( Jong Hyo Sun ),김재광 ( Jae Kwang Kim ),임용수 ( Yong Su Lim ),김진주 ( Jin Joo Kim ),조진성 ( Jin Sung Jo ),현성열 ( Sung Youl Hyun ),정호성 ( Ho Sung Jeong ),양혁준 ( Hyuk Jun Yang ),이근 ( Gun Lee ),김정호 ( Jeong Ho 대한외상학회 2009 大韓外傷學會誌 Vol.22 No.2
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. (J Korean Soc Traumatol 2009;22:248-53)