股骨骨折合并颅脑损伤48例治疗  

Treatment of femoral fractures combined with head injuries

作　　者：宋卫东[1] 邱太彬[1] 潘晓华 李德[3] 陈皓[1] 

机构地区：[1]中山大学孙逸仙纪念医院骨科,广东广州510120 [2]深圳市人民医院骨科,广东深圳518020 [3]中山大学孙逸仙纪念医院急诊科,广东广州510120

出　　处：《创伤外科杂志》2011年第2期136-138,共3页Journal of Traumatic Surgery

摘　　要：目的探讨股骨骨折合并颅脑损伤治疗的时机及疗效。方法回顾分析48例股骨骨折合并颅脑损伤病例,比较死亡率、手术时间、手术失血量、住院时间、骨不连例数、骨折愈合时间,观察急诊行内固定手术(≤48小时)、早期外固定延期内固定(>48小时)对股骨骨折合并颅脑损伤的治疗效果。结果早期外固定延期内固定手术时间更短、手术失血量更少(P<0.05),而在死亡率、住院时间、骨不连例数、骨折愈合时间两组无明显区别。结论股骨骨折合并颅脑损伤行早期外固定延期内固定是一种安全、有效的治疗方法。Objective To discuss the treatment time and efficacy for femoral fractures patients combined with head injuries.Methods Totally 48 cases of femoral fractures combined with head injuries were retrospectively analyzed.Mortality,operative time,operative blood loss,hospital stay,the number of cases of nonunion,fracture healing time were compared,so as to evaluate the curative effect of the methods of emergent internal fixation and early external fixation combined with delayed internal fixation.Results Early external fixation combined with delayed internal fixation had the advantages in operation time,blood loss.There was no significant difference in the mortality,hospital stay,the number of cases of nonunion,fracture healing time.Conclusion Early external fracture fixation combined with delayed internal fixation is a safe and effective method for treating femoral fractures combined with head injuries.

关 键 词：股骨骨折 颅脑损伤 复合伤 治疗 

分 类 号：R683.42[医药卫生—骨科学] R651.15[医药卫生—外科学]