| 不稳定型骨盆骨折的疗效探讨 |
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| 引用本文： | 秦宏敏,龚维成,郭开今,李强.不稳定型骨盆骨折的疗效探讨[J].中华创伤骨科杂志,2004,6(5):529-531. |
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| 作者姓名： | 秦宏敏 龚维成 郭开今 李强 |
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| 作者单位： | 221002,江苏省徐州市,徐州医学院附属医院骨科 |
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| 摘 要： | 目的 探讨不稳定型骨盆骨折(Tile B和Tilec型)的治疗和疗效。方法 比较78例骨盆骨折患者使用和非使用骨盆外固定支架手术疗效。结果 在38例骨盆骨折患者未使用骨盆外固定支架治疗中，失血性休克的纠正率为76％，死亡率10．6％，平均ISS评分11．6。而在使用骨盆外固定支架治疗的40例患者中，失血性休克的纠正率为90％，死亡率为2．5％，平均ISS评分9．87结论 骨盆外固定支架治疗不稳定型骨盆骨折合并失血性休克，手术简单，疗效可靠，大大降低了患者的死亡率。
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| 关 键 词： | 不稳定型 骨盆骨折 失血性休克 外固定支架 死亡率 手术方法 血流动力学 |
| 文章编号： | 1671-7600(2004)05-0529-03 |
| 修稿时间： | 2003年7月22日 |
Efficacy of external fixators in treatment of unstable pelvic fractures |
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| QIN Hong min,GONG Wei cheng,GUO Kai jin,LI Qiang.Efficacy of external fixators in treatment of unstable pelvic fractures[J].Chinese Journal of Orthopaedic Trauma,2004,6(5):529-531. |
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| Authors: | QIN Hong min GONG Wei cheng GUO Kai jin LI Qiang |
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| Institution: | QIN Hong min,GONG Wei cheng,GUO Kai jin,LI Qiang Department of Orthopaedics,Xuzhou Medical College Hospital,Xuzhou,Jiangsu 221002,China |
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| Abstract: | Objective To investigate the efficacy of external fixators in the treatment of unstable pelvic fractures( Tile B and Tile C ). Methods The different results of 78 patients who had been treated with or without external fixator were compared. Results In 38 cases who were treated without external fixator, the cure rate for hemorrhagic shock was 76%, the mortality 10.6%, and the average ISS score 11.6. In 40 cases who were treated with external fixator, the cure rate for hemorrhagic shock was 90%, the mortality 2.5%, and the average ISS score 9.8. Conclusion The treatment of unstable pelvic fracture with external fixator is simple and reliable, and can reduce the mortality significantly. |
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| Keywords: | Pelvic fracture Hemorrhagic shock External fixator Mortality |
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