Primary Article

Vascular and Adjacent Soft Tissue Injuries Associated With Fractures of the Pelvis

Authors: CURTIS V. SPEAR MD, GEORGE G. HOLLINS JR. MD, JOHN S. THIEMEYER JR. MD, JOEL A. MASON MD, STERLING R. WILLIAMSON MD, ROBERT S. NEFF MD

Abstract

AbstractOne hundred fifty-one patients with fractures of the pelvis and associated injuries have been reviewed. Patients who have these injuries are likely to have uncontrollable, fatal hemorrhage. Of this group, nine died, 11 had exploratory laparotomies, ten had bladder injuries, and two had rectal damage. Blood gas determinations, arterial catheterization, and pulmonary wedge pressure determinatios are valuable in making an early diagnosis of pathologic changes resulting from internal hemorrhage.

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