严重多发伤骨盆环不稳定骨折的损害控制治疗  

Damage control techniques for treatment of unstable pelvic fractures with severe multiple trauma

作　　者：魏大成[1] 谌勇[1] 胡建忠[1] 

机构地区：[1]泸州医学院附属隆昌医院骨科,四川隆昌642150

出　　处：《创伤外科杂志》2010年第3期231-233,共3页Journal of Traumatic Surgery

摘　　要：目的探讨采用损害控制技术治疗不稳定骨盆骨折合并严重多发伤的疗效。方法回顾性分析我院自2005年1月～2009年12月收治的17例不稳定骨盆骨折合并严重多发伤的临床资料,均采用骨盆外固定支架固定等损害控制措施救治。结果本组17例中1例死亡,16例抢救成功。15例进入ICU救治,在ICU治疗时间平均6.2天。16例中有12例获得随访,其中4例返回原工作岗位,5例生活自理,3例还需进一步治疗。结论采用骨盆外固定支架固定等损害控制措施可提高骨盆不稳定骨折合并严重多发伤的救治成功率。Objective To evaluate the clinical outcomes of damage control techniques in treating the multi-injured patients with unstable pelvic fractures.Methods Data on 17 cases of unstable pelvic fractures with severe multiple trauma admitted to our hospital from Jan.2005 to Dec.2009 were retrospectively analyzed.All were treated with damage control methods,such as pelvic fixation using external fixators.Results One patient died,and the other 16 patients were successfully salvaged.Fifteen patients were admitted to Intensive Care Unit（ICU）averaging 6.2 days.The follow-up of 12 patients showed：4 patients returned to work;5 patients had ability of self-care,3 patients needed further treatment.Conclusion For the multiple-injuried patients with unstable pelvic fractures,the curing rate is high while using pelvic external fixators and other orthopedic damage control methods.

关 键 词：损害控制 多发伤 骨盆骨折 外固定 

分 类 号：R683.3[医药卫生—骨科学]