Gänsslen Axel, Giannoudis Peter, Pape Hans-Christoph
Department of Orthopaedics and Trauma, Hannover Medical School, Germany.
Curr Opin Crit Care. 2003 Dec;9(6):515-23. doi: 10.1097/00075198-200312000-00009.
Pelvic fractures are rare but potentially devastating injuries. An understanding of the bony and peripelvic anatomy along with common patterns and the classification of the injury are of critical importance in their management. These form the basis for a general treatment algorithm for pelvic fracture patients. Angiographic embolization is time-consuming and often delayed. Hemodynamic instability with unstable pelvic fracture is therefore best approached with a combination of pelvic emergency stabilization (C-clamp) and surgical hemostasis by pelvic tamponade. This is especially true for critically injured patients in extremis.
骨盆骨折虽罕见，但可能造成毁灭性损伤。了解骨盆骨骼及周围解剖结构、常见骨折类型和损伤分类对于其治疗至关重要。这些构成了骨盆骨折患者一般治疗方案的基础。血管造影栓塞术耗时且常被延误。因此，对于伴有血流动力学不稳定的不稳定骨盆骨折，最佳处理方法是联合骨盆紧急固定（C形夹）和骨盆填塞术进行手术止血。对于处于危急状态的重伤患者尤其如此。
