广州医科大学学报

目的:探讨损伤控制外科技术在严重骨盆骨折急救中的应用效果。方法:对2009年1月至2012年12月汕头大学医学院第二附属医院收治的23例严重骨盆骨折患者的临床资料进行回顾性分析。结果:23例患者中死亡4例,其中2例为严重颅脑外伤死亡:1例74岁患者因肝破裂、失血性休克死亡;l例在ICU治疗3 d后猝死。其余19例随访1年,3例出现跛行和行走痛,1例脊柱骨折患者出现截瘫,3例严重四肢骨折丧失劳动能力,其余患者生活可以自理,患者满意度较高。结论:损伤控制外科技术可提高严重骨盆骨折的多发伤患者的抢救成功率。

Objective:To investigate the application of injury control for emergency medicine in severe pelvic fracture.Methods:We did a retrospective analysis on the clinical profiles of 23 patients with severe pelvic fracture who were admitted to The Second Affiliated Hospital of Medical School of Shantou University between January 2009 and December 2012.Results;Of 4 mortality cases reported,2 had severe cranial trauma,1succumbed due to liver fracture leading to hemorrhagic shock and 1 died suddenly in the intensive care unit.Of19 remaining cases survived,3 developed claudication and walk-associated pain,1 became paralyzed for vertebral fracture,3 lost capacity of walking because of fracture of the extremities,and the remaining cases had a preferable recovery resulting in satisfaction after a 1-year follow-up period.Conclusion;Injury control technique is associated with improved success rate of rescue therapy in patients with severe pelvic fracture.