Popov I F, Berezka N I, Gnedushkin Iu N, Iavdak A K
Khirurgiia (Mosk). 1992 Jul-Aug(7-8):75-9.
The outcomes of treatment of 386 victims with abdominal trauma and fractures of the long tubular bones were studied. The authors systematized the typical complications developing after the trauma, both on the part of the injured organs of the abdominal cavity and true pelvis and the fractures of the long tubular bones. This allowed the developed complications to be divided according to time into early, late, and sequelae of trauma. The early complications of injuries to the organs of the abdomen and true pelvis are as follows: suppuration of postoperative wounds, postoperative wound dehiscence with or without eventration, recurrent intracavitary hemorrhage, progressing local peritonitis, incompetence of anastomoses, intestinal obstruction, abdominal abscesses and infiltrates, abscesses and infiltrates in the true pelvis, intestinal paresis, large hematomas, phlegmons of the anterior abdominal wall. The late complications are: sluggish wounds of the anterior abdominal wall, formation of ligature fistulas, postoperative ventral hernias, suppuration of intraorganic and interstitial hematomas, subclinical forms of sepsis and sepsis, thrombophlebitic complications, chronic venous insufficiency, persistent wounds, and other complications. The sequelae of injury to the organs of the abdominal cavity and true pelvis are: intestinal fistulas, functional intestinal disorders, gastric disease, the dumping syndrome, cicatricial changes of the anterior abdominal wall, posttraumatic disease, venous insufficiency, pneumosclerosis, chronic pneumonia, pulmonary emphysema, chronic vascular insufficiency, etc. The early complications in fractures of long tubular bones in the group of studied patients: suppuration of osteomuscular wounds, recurrent displacement of bone fragments, bone necrosis in open type IIIC, IIID fractures, gangrene of the limb consequent upon crushing of skin and subcutaneous tissue, subluxations, secondary subluxations of limbs.(ABSTRACT TRUNCATED AT 250 WORDS)
对386例腹部创伤合并长管状骨骨折患者的治疗结果进行了研究。作者将创伤后出现的典型并发症进行了系统化整理，这些并发症既涉及腹腔和真骨盆的受伤器官，也包括长管状骨骨折。这使得所出现的并发症可根据时间分为早期、晚期和创伤后遗症。腹部和真骨盆器官损伤的早期并发症如下：术后伤口化脓、术后伤口裂开伴或不伴脏器脱出、反复腔内出血、进行性局限性腹膜炎、吻合口功能不全、肠梗阻、腹部脓肿和渗出、真骨盆脓肿和渗出、肠麻痹、大血肿、前腹壁蜂窝织炎。晚期并发症有：前腹壁伤口愈合缓慢、结扎瘘形成、术后腹疝、器官内和间质血肿化脓、亚临床型败血症和败血症、血栓性静脉并发症、慢性静脉功能不全、持续性伤口及其他并发症。腹腔和真骨盆器官损伤的后遗症有：肠瘘、肠道功能紊乱、胃病、倾倒综合征、前腹壁瘢痕形成、创伤后疾病、静脉功能不全、肺硬化、慢性肺炎、肺气肿、慢性血管功能不全等。研究组患者长管状骨骨折的早期并发症有：骨肌肉伤口化脓、骨碎片反复移位、IIIC型、IIID型开放性骨折中的骨坏死、皮肤和皮下组织挤压导致的肢体坏疽、半脱位、肢体继发性半脱位。（摘要截取自250字）
