Review of the Problems of Diagnosis of Endopelvic Haemorrhage, Its Intensity, Volume, and Duration, and Treatment Methods of Circulatory Injuries and Surgical Hemostasis after Pelvic Fractures
Table 2
Prognosis of traumatic shock severity in pelvic polytrauma.
Injury type
Haemorrhage volume (ml)
Points
Pelvic fractures
Type А
500
10
Type В
1500
30
Type С, acetabulum fracture
2500
50
Subsequent injuries
Closed fractures
Wrist, forearm, foot
750
15
Shoulder
1500
30
Hip
2000
40
Rib
250
5
Brisket
1500
30
Spondyle
2000
40
Open fractures, wounds
Segment fracture
+ 500
10
Chest
Aeropleura
500
10
Overwrought valvular pneumothorax
500×k (k=5)
50
Hemopleura minor
500
10
Hemopleura medium
1500
30
Hemopleura major
2500
50
Damages of inner organs of abdominal cavity and pelvis
Hollow viscus
500
10
Parenchymatous organ
2500
50
Patient age
18-50 years
×k (k=1)
-
>50 years
×k (k=1,5)
-
Time since the moment of trauma till the beginning of antishock treatment
≤30 min
×k (k=1)
-
30-60 min
×k (k=1,5)
-
≥60 min
×k (k=2)
-
Prognosis (traumatic shock severity)
Favorable (moderate severity)
1000
<20
Questionable (severe)
1.000-2.500
21-50
Unfavorable (extremely severe)
2.500-5.000
51-100
Notes: (1) Neurosurgical trauma is not includes in the scheme (2) 1 point = 50 ml of hemorrhage.
