Ferrera P C, Hill D A
Department of Emergency Medicine Mailcode-139, Albany Medical Center, NY 12208, USA.
Injury. 1999 Apr;30(3):187-90. doi: 10.1016/s0020-1383(98)00246-0.
While pelvic fractures are common injuries, those which communicate with an open wound are much less commonly encountered. These injuries have been associated with high morbidity and mortality in previous studies. We investigated our experience with open pelvic fractures retrospectively over a 79-month period. A total of 17 patients were identified, representing 2.7% of all pelvic fractures seen during this time period. There were no fatalities among the 15 patients who were not in cardiac arrest on arrival. Associated injuries were present in all patients. Functional outcome was good in eight patients and fair in seven. Although open pelvic fractures are severe injuries, survival in our study was 100% in those not arriving in cardiac arrest.
虽然骨盆骨折是常见的损伤，但与开放性伤口相通的骨盆骨折则较少见。在以往的研究中，这些损伤与高发病率和死亡率相关。我们回顾性调查了79个月期间开放性骨盆骨折的治疗经验。共识别出17例患者，占该时间段内所有骨盆骨折患者的2.7%。15例入院时未发生心脏骤停的患者均无死亡。所有患者均存在合并伤。8例患者功能结局良好，7例患者结局尚可。虽然开放性骨盆骨折是严重损伤，但在我们的研究中，未发生心脏骤停的患者生存率为100%。
