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Hemostasis with emergently modified application of intra‐aortic balloon occlusion in a patient with impending cardiac arrest following blunt proximal thigh amputation

机译:对大腿近端截肢后即将发生心脏骤停的患者进行主动脉内球囊闭塞的紧急修改后的止血

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摘要

CaseA 30‐year‐old woman had her left thigh run over by a train. We tried to compress the left femoral area to control the arterial bleeding, but bleeding continued from the stump and injured soft tissue. The application of a tourniquet bandage also failed because of the limited remaining thigh. She developed impending cardiac arrest. As the left femoral arterial pulsation was still palpable, we inserted an intra‐aortic balloon occlusion catheter percutaneously. The hemorrhage from the stump region decreased rapidly. She was transferred to an operating room to carry out surgical hemostasis, and it was confirmed with deflation of the balloon in the common iliac artery.
机译:案例一名30岁的妇女被火车撞到了左大腿。我们试图压迫左股骨区域以控制动脉出血,但从残端和受伤的软组织继续出血。由于剩余的大腿有限,因此止血带的应用也失败了。她发展为即将来临的心脏骤停。由于左股动脉搏动仍可触及,我们经皮插入了主动脉内球囊阻塞导管。残端区域的出血迅速减少。她被转到手术室进行止血,并经with总动脉球囊放气证实。

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