严重骨盆骨折的救治及手术治疗

目的报道严重骨盆骨折的治疗经验,以期进一步提高其早期诊断和救治水平。方法回顾性分析总结了1994年4月～2002年3月106例严重骨盆骨折的临床资料。结果骨盆骨折主要的致伤原因为交通事故伤(69例,占65.1%)及坠落伤(31例,占29.3%)。106例中,87例生存,19例死亡,死亡率为17.9%,其中10例死于出血性休克,4例死于严重脑外伤,3例死于多器官功能衰竭,2例死于急性呼吸窘迫综合征。其中骨盆骨折手术治疗32例,优良率达91.7%。结论严重骨盆骨折救治中院前急救十分重要,要及时处理严重合并伤,积极行骨盆骨折内固定手术。

The emergency treatment and operation of severe pelvic fractures

Objective To report the clinic experience of tr eatment of severe pelvic fracture in order to improve the early diagnosis and operation of the injury.Methods We retrospectively studied the clin ic data of106patients admitted to our hospita l for severe pelvic fracture from Apr il 1994to May 2002.Results The main causes for pelvic fracture were traffic accident injury(69cases,65.1%)and falling accident injury(31cases,29.3%).87cases were in the survival group,and 19cases in the death group,with t he mortality of about 17.9%.In the death group,10di ed from hemorrhagic shock,4of severe cerebral injury,3from MOF,and 2from ARDS.32cases with pelvic f ractures were treated by opening red uction and internal fixation,91.7%of which achieved good results.Conclusion In the treatment of severe pelvic fra ctures,prehospital emergency care is very important.Complicated severe injuries should be treated pr omptly and pelvic fractures be fixed with internal fixation as soon as possibl e.