骨盆骨折的临床特征

目的 探讨骨盆骨折的临床特征.方法 回顾性分析我院1991年3月-2011年10月收治的78例骨盆骨折患者的临床资料.结果 合并骶髂关节脱位3例,合并耻骨联合分离2例,合并休克14例,泌尿系统损伤2例（其中尿道损伤1例,膀胱损伤1例）,右大腿皮肤撕脱并小腿毁损伤1例,合并脑挫裂伤4例.死亡1例,死亡原因为重型脑挫裂伤并呼吸、循环衰竭.结论 骨盆骨折合并伤诊断较困难,及时正确诊断切勿漏诊、误诊.早期多通道快速输液、输血积极补充血容量,让其出血处达到自然止血之目的,同时应尽早地恢复骨盆形状,减少骨盆的异常活动,对稳定休克及腹膜后血肿有举足轻重的治疗作用.

Clinical Observation of Pelvic Fracture

Objective To explore the experience of pelvic fractures. Methods A retrospective analysis of our hos- pital from March 1991 to October 2011 were treated pelvic fracture 78 patients with clinical data. Results Merge sacroiliac joint dislocation in 3 cases, combined pubic symphysis separation in 2 cases, combined with shock 14 cases, urinary tract injury in 2 cases （urethral injury in 1 case, bladder injury cases） , skin avulsion of the fight thigh and calf ruined injury patients with cere- bral contusion in 4 cases. The group 1 died. Conclusion pelvic fracture injury is difficult to diagnose, timely and correct di- agnosis not to misdiagnosis. Early multi - channel rapid infusion, blood transfusion actively to add volume to achieve the pur- pose of the natural hemostatic its bleeding at the same time as soon as possible to restore the shape of the pelvis, reduce pelvic unusual activity on the stability of shock and a pivotal role in the treatment of retroperitoneal hematoma.