学术
摘 要:
目的探讨骨盆外固定支架在急诊处理不稳定型骨盆骨折中的临床效果。方法19例不稳定型骨盆骨折，建立多路静脉通道，快速输血输液纠正休克，血压仍得不到稳定时，2例作骼动脉造影，1例作剖腹探查，全部急诊行骨盆外固定支架治疗。结果18例存活，1例死于失血性休克。随访1．5～3a，除1例C3型骨折行二期手术内固定治疗外，17例单纯应用骨盆外固定架治疗的患者骨折均愈合，平均随访10．5mo，根据骨折复位、疼痛、步态、肢体长度、髋关节活动度等分为优、良、可、差4级，优良率为88．9％。结论骨盆外固定架急诊处理不稳定型骨盆骨折操作简单，有利于抗休克治疗，其临床疗效确切，早期稳定血流动力学，多种外科手段干预，可提高重度骨盆骨折的救治水平，降低死亡率。[著者文摘]
文章出处:
《现代保健：医学创新研究》-2008年5卷4期 -6-7页
栏目信息:
分 类 号:
文献标识码:
A
文章编号:
1671-7821（2008）06-0006-02
相关文章:
External fixators in emergency resuscitation management treatment of unstable pelvic fractures.
Chen Zhonghua.（ Yishui Central Hospital in Shandong Linyi. Yishui 276400, China.）
Abstract:
Objective To explore the clinical effect of external fixators in emergency resuscitation management treatment of unstable pelvic fractures. Method 19 cases of unstable pelvic fractures were made multiple intravenous tract. They were given fast blood transfusion and intravenous infusion to modify shock, blood pressure were still unstable . 2cases were made iliaca arterography , lcases were made exploratory celiotomy, all cases were under emergency treatment with external fixators. Result 18 cases were alive, 1 died of loss blood shock. 18 cases were followed up for 1.5 - 3 years, except one C3 bone fractures with second internal fixation treatment, 17cases were all cured under pure treatment with external fixators. Followed up 10.5 months on average. According to bone fracture replacement, pain, foot gesture, limb longitude, hip joint movement eta. It was divided four grades, the exellent and good rate was 88.9%. Conclusion It is simple to operate for external fixators in emergency resuscitation management treatment of unstable pelvic fractures, And beneficial to anti - shock treatment. Clinical effect is sureness in early stages hemodynamics were stablilized, multiple surgical operation intervention can improve resuscitation level of severe pelvic fractures, lower mortaity.[著者文摘]
Key words:
External fixators Pelvic fracture Emergency resuscitation
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