caa a22 4500 469114258 CHVBK 20180323133120.0 cr unu---uuuuu 170328e19921101xx s 000 0 eng 10.1007/BF00420059 doi (NATIONALLICENCE)springer-10.1007/BF00420059 Diagnosis and treatment of retroperitoneal hematoma in multiple trauma patients [Elektronische Daten] [Th. Hölting, H. Buhr, G. Richter, Th. Roeren, W. Friedl, Ch. Herfarth] Summary: From 1984 to 1991 20 multiple trauma patients with pelvic fractures and retroperitoneal bleeding from pelvic vessels underwent angiographic localization and embolization of massively bleeding arterial vessels. Nine patients survived (multiple trauma index grade III, Hanover polytrauma index), three patients with very severe injuries died immediately (multiple trauma index grade IV). After successful control of bleeding by embolization, three other patients died from severe brain injuries and five patients from septic multiorgan failure. The interval to definite localization and treatment of the bleeding source was three times shorter in the group of survivors, and the amount of transfusions needed was less by a factor of three. This underlines the importance of early angiography in multiple trauma patients with pelvic fractures and persisting hemorrhage. Embolization has proven to be effective in the treatment of such injuries. Springer-Verlag, 1992 Hölting Th Department of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, W-6900, Heidelberg, FRG aut Buhr H. Department of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, W-6900, Heidelberg, FRG aut Richter G. Department of Radiology, University of Heidelberg, FRG aut Roeren Th Department of Radiology, University of Heidelberg, FRG aut Friedl W. Department of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, W-6900, Heidelberg, FRG aut Herfarth Ch Department of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, W-6900, Heidelberg, FRG aut Archives of Orthopaedic and Trauma Surgery Springer-Verlag 111/6(1992-11-01), 323-326 0936-8051 111:6<323 1992 111 402 https://doi.org/10.1007/BF00420059 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00420059 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hölting Th Department of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, W-6900, Heidelberg, FRG aut NATIONALLICENCE 700 1- Buhr H. Department of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, W-6900, Heidelberg, FRG aut NATIONALLICENCE 700 1- Richter G. Department of Radiology, University of Heidelberg, FRG aut NATIONALLICENCE 700 1- Roeren Th Department of Radiology, University of Heidelberg, FRG aut NATIONALLICENCE 700 1- Friedl W. Department of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, W-6900, Heidelberg, FRG aut NATIONALLICENCE 700 1- Herfarth Ch Department of Surgery, University of Heidelberg, Im Neuenheimer Feld 110, W-6900, Heidelberg, FRG aut NATIONALLICENCE 773 0- Archives of Orthopaedic and Trauma Surgery Springer-Verlag 111/6(1992-11-01), 323-326 0936-8051 111:6<323 1992 111 402 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer